Johns Hopkins Medicine

For CBC + Chem istry from 1 specimen,
use 1 Green lithium heparin tube (G) .
Johns Hopkins
Department of Molecular and
Comparative Pathobiology
Otherwise, use lavender EDTA tube (L)
for hematology, and
any serum tube (Y) for chemistry
(gel separators are recommended)
Phenotyping & Pathology Core
443-287-0917
SPECIMEN REQUIREMENTS
G Green - Heparin
E Eppendorf
L Lavender - EDTA
Y Yellow
Gel separator tubes yield cleaner
serum or plasma specimens.
Print completed form, and submit with specimens to BRB 840, or
save it, and email, as attachment to Nadine Forbes-McBean ([email protected])
DATE submitted
INVESTIGATOR
BUDGET NUMBER
G
L
PANELS
RAR + CBC
LiHep
(G)
SuperChem+CBC
LiHep
(G)
RAR Chem
(Y)
(G)
SuperChem
(Y)
(G)
Mini Screen
(Y)
(G)
Liver Short
(Y)
(G)
Liver Long
(Y)
(G)
Kidney Short
(Y)
(G)
Kidney Long
(Y)
(G)
Lipid
(Y)
(G)
Metabolic
(Y)
(G)
Electrolytes
(Y)
(G)
Individual Chemistry Tests
Albumin
(Y)
(G)
ALP
(Y)
(G)
ALT
(Y)
(G)
Amylase
(Y)
(G)
AST
(Y)
(G)
BUN
(Y)
(G)
Calcium
(Y)
(G)
Cholesterol
(Y)
(G)
CK
(Y)
(G)
Creatinine
(Y)
(G)
GGT
(Y)
(G)
Glucose
(Y)
(G)
HDL
(Y)
(G)
LDH
(Y)
(G)
Total Protein
(Y)
(G)
Triglyceride
(Y)
(G)
T Bilirubin
(Y)
(G)
Uric Acid
(Y)
(G)
Y
BLOOD
>600ul
>700ul
>500ul
>700ul
>200ul
>240ul
>300ul
>200ul
>550ul
>200ul
>200ul
>500ul !
BLOOD
>120ul
>120ul
>160ul
>120ul
>160ul
>120ul
>120ul
>120ul
>120ul
>160ul
>120ul
>120ul
>140ul
>140ul
>120ul
>120ul
>120ul
>120ul
Serum*
>250ul
>350ul
>100ul
>120ul
>150ul
>100ul
>275ul
>100ul
>100ul
>250ul !
Serum
>60ul
>60ul
>80ul
>60ul
>80ul
>60ul
>60ul
>60ul
>60ul
>80ul
>60ul
>60ul
>70ul
>70ul
>60ul
>60ul
>60ul
>60ul
CONTACT (#/email)
CONTACT PERSON
MCP or RAR #
Mouse
Rat
Rabbit
Pig
Dog
Cat
NHP:
Other:
HEMATOLOGY
BLOOD VOL
CBC, Diff, smear (L)
(L)
(G)
>30ul
CBC, Diff w/o smear
(L)
(G)
>30ul
CBC results
Paper (default)
OR
XL email
CBC, Diff, stained smear
(L)
(G)
>30ul
URINE
VOLUME
Complete Urine
(E)
>1ml
Specific Gravity
(E)
>50ul
Glucose
(E)
>10ul
Bilirubin
(E)
>10ul
Ketones
(E)
>10ul
Blood
(E)
>10ul
pH
(E)
>10ul
Protein
(E)
>10ul
Urobilinogen
(E)
>10ul
Nitrite
(E)
>10ul
Leukocytes
(E)
>10ul
Sediment micro
(E)
>10ul
OTHER
Cytospin w/ stain
(E)
(L)
(G)
other
Cytospin w/o stain
(E)
(L)
(G)
other
Specimen ID Numbers (required):
Special Requests, including tests to be prioritized:
* Required serum or plasm a volume is about half of the required blood volume for chemistry tests.
Serum or plasma specimens should be clear yellow (non hemolyzed). Hemolysis interferes with many tests.
There is an additional charge for the lab to separate serum/plasma from whole blood.
Panels
RAR Chem
Super Chem 21:
Mini Screen:
Kidney Short:
Kidney Long:
Liver Short:
Liver Long:
Lipid:
Metabolic:
Electrolytes:
Alb, ALP, ALT, AST, BUN, Ca, CK, Creatinine, GGT, Glucose, TPro, GGT, Total Bilirubin
Alb, ALP, ALT, Amylase, AST, BUN, Ca, Chol, CK, Creatinine, GGT, Glucose, Electrolytes, LDH, Tbili, TPro, Trigly, Uric Acid
ALT, BUN, Glucose, TPro
BUN, Creatinine
Alb, BUN, Ca, Creatinine, Electrolytes, TPro, UA
AST, ALT
Alb, ALP, AST, ALT, GGT, Glu, TPro, Total Bilirubin, LDH
Chol, Trigly, HDL(** HDL tested on more than 10 samples or contact lab), LDL available
Chol, Trigly, TPro, Alb, Glucose, HDL (** HDL tested on more than 10 samples or contact lab), LDL available
Sodium, Chloride, Potassium
Specim ens m ust be subm itted by 4pm .
Contact Lab to schedule subm issions after 3pm , batched specim ens (e.g. >10), or special tests.
Fees & more information at: http://www.hopkinsmedicine.org/mcp/PHENOCORE/TESTpath.html

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