Haematology
section of King
Edward Medical University, Lahore not only caters for the
patients of various medical, surgical and oncological wards
of Mayo Hospital but also the patients referred by far flung
areas as well as the secondary care hospitals. Complete
blood examination, coagulation profile and bone marrow
aspiration/trephine biopsy form the main bulk of work load.
Other tests like Barr body detection, LE cell preparation,
FDP’s, Osmotic fragility, Hain’s test and Coomb’s test are
also routinely performed.
The vast increase in the
knowledge of pathogenesis and management of hematological
malignancies has made the laboratory practice of Haematology
a challenging job. This section not only aids in the
diagnosis of various malignancies both adult as well as
paediatric but also helps in monitoring of disease pattern.
Many patients of various bleeding disorders referred by
medical wards as well as specialties are benefited by
coagulation screening performed by competent doctors. Bone
marrow examination is an important tool for diagnosing
various diseases and staging of malignancies. Its importance
in assessing the remission of disease cannot be denied.
Various special stains are also performed.
Haematology as a clinical discipline has expanded tremendously making
the hematology laboratory a high dependency unit of
Pathology Department.
Work
Load in 2005
|
S.No. |
Name of Test |
No. of Tests
Performed |
|
1 |
Complete Blood
Examination |
12200 |
|
2 |
RBC Morphology |
9600 |
|
3 |
Retic count |
670 |
|
4 |
PT / APTT
|
5664 |
|
5 |
Correction studies
for factor identification |
970 |
|
6 |
Coombs Test
Direct
Indirect
Antibody titration |
140
70
26 |
|
7 |
Fibrinogen
|
60 |
|
8 |
FDPs |
50 |
|
9 |
Bleeding time
|
900 |
|
10 |
Bone Marrow
Special
stains |
395
115 |
|
11 |
Miscellaneous Tests
Barr Body
test
LE cell
Hain’s
Test
Osmotic
fragility test
|
40
30
03
09 |
|
|
Grand Total |
30925 |
4.2.2
List of
instruments used in Haematology
·
Haematology Analyzer (Sysmex)
2
·
Microscopes
5
·
Multihead
/ Pentahead Microscope 1
·
Water
bath 1
·
Centrifuge 1
·
Hot air
oven 2
Physical capacity
Haematology section
comprises of
·
Main lab
used for staining, hematology analyzer, coagulation
studies, microscopy of peripheral smears.
·
Reporting
room for reporting bone marrow with pentahead
·
Consultant’s office with facilities of computer for
report typing, also used for weekly seminars.
·
Bone
marrow procedure room for bone marrow aspiration.
·
Study
room for study purpose of doctors and PG trainees.
4.2.3
Goals to
be achieved.
To start
·
Platelet
aggregation studies
·
Protein
electrophoresis
·
Haemoglobin electrophoresis
·
Automated
coagulometer
·
Immunomarkers
·
Flow
cytometry
Reporting of Blood smears being done
Haematology analyzer is being used for blood samples
Bone
Marrow procedure in bone marrow room
