Transcription of ASAP Laboratory SA
1 Species:Owner Name:Breed:Animal ID:Age:Patient Ref No.:noitcelloc fo emiTetaDemaN tnirPerutangiS :xeSE G P L FO Sbl U Sm Fl Tfo Tfr Swab F tiC Other Previous Lab No:VETERINARIAN / CLINICDETAILSCLINICAL HISTORY: (including description of any gross skin or mass lesions and any recent therapy):OTHERS: (PLEASE SPECIFY) Property ID(if applicable)27143 asap 2017 SA Small Animal Form SNAP No PO BoxOffice Use ONLY: asap LaboratoryPHONE: 1300 VET LAB (1300 838 522) FAX 9562 : ANIMALDo not run Regionally. Send directly to ASAPBARCODE No:(Office Use)RECOMMENDED PROFILESHAEMATOLOGY / COAGULATION101 FBE614 CBC Uninterpreted107 PT+APTT106 APTT 105 PT noitalugaoC lluF 316 URINALYSIS Method of collection;_____301 Urinalysis 303 Urinalysis + C+S305 Urine C+S ONLY307 Comprehensive urinalysis308 Urine Protein: Creatinine RatioMICROBIOLOGY351 MC & S Tick to pool samplesNumber of sites .. 359 Fungal wet mount and culture375 Fungal and Bacterial cultureBIOCHEMISTRY201 Full Screen 202 Liver203 Renal207 Paired Bile acids/ 208 Single 211 Fructosamine205 1-5 Biochemistries (list required tests)CYTOLOGY401 Routine cytology 352 Add M+C407 CSF 404 BAL/TTW405 Bone marrow (incl.)
2 FBE)403 Body Fluid Analysis 402 Additional SiteFAECAL EXAMINATION901 Comprehensive902 Basic903 Faecal float904 Occult bloodENDOCRINOLOGY / THERAPEUTIC701 Total T4705 cTSH216 Phenobarbitone217 Potassium Bromide712 Progesterone708 ACTH stimulation test709 LDDST732 AMHSEROLOGY AND MOLECULAR801 FIV/FeLV (ELISA)803 Cryptococcus (LCAT)805 Heartworm antigen808 Toxoplasma IgG +IgM809 Neospora serologyNeurological PCRHISTOPATHOLOGY502 Histopathology 2-3 tissues503 Histopathology 4-6 tissues504 Histopathology 7-10 tissuesMargin check required?Respiratory PCRFull Body Function Body Function + UrinalysisBody Function + T4 Body Function +T4 + Urinalysis + MCSSick Dog / Cat ProfileBasic HealthBasic Health + UrinalysisBasic Health + SNAP cPL /fPL Wellness Profile (Basic Health + T4)Wellness Profile + UrinalysisWellness Profile + Urinalysis + MCSW ellness Profile + SNAP cPL /fPL 1054 Respiratory Mycoplasma PCR1055 Haemotropic Mycoplasma PCR501 Histopathology 1 tissueSAMPLESBLOODEDTA CitratePlain FI OxLith Hep GelSMEARSB lood OtherURINES terile Method Container _____FLUIDEDTA PlainSWABGel DryTISSUEIn Formalin FreshFAECES_____ _____OTHER_____ _____Add OnsTT4 FIV/FeLV Urine C+S ONLYF aecal Multiplex PCR
