Department of Laboratory Medicine JPNATC, AIIMS

New Delhi

Hematology, Biochemistry and Histopathology

(January 2013 to December 2013)

HematologyPARAMETERS NO. OF SAMPLES PROCESSED

Hemoglobin 42720

TLC 42720

Differential count 27568

Hematocrit (Hct) 42720

RBC count 42720

Mean corpuscular Haemoglobin (MCH) 42720

Mean corpuscular Haemoglobin concentration (MCHC) 42720

Mean corpuscular Volume (MCV) 42720

Red cell distribution width (RDW) 42720

Platelet count 42720

Reticulocyte count 8656

Erythrocyte sedimentation rate (ESR) 6479

Peripheral Smear 3662

Blood parasites 4483

TOTAL 4,35,532

Coagulation Tests

PARAMETERS NO. OF SAMPLES PROCESSED

PT 26821

APTT 26821

TT 300

Fibrinogen 626

D-dimer 527

Thromboelastogram (TEG) 1855

TOTAL 56,950

Fluids (CSF/peritoneal/pleural), Urine Analysis

PARAMETERS NO. OF SAMPLES PROCESSED

Urine R/M 3792

Urine Myoglobin 1488

Urine Fat globules 203

CSF, pleural, ascitic fluid 2363

TOTAL 7,846

TOTAL TESTS IN HEMATOLOGY SECTION = 5,00,124

Biochemistry Tests

TESTS NO.SUGAR 9,794UREA 39,602CREATININE 39,063CALCIUM 24,810PHOSPHATE 24,749URIC ACID 22,586SODIUM 39,601POTASSIUM 39,601T.BIL. 25,177D.BIL. 25,177T.PROTEIN 22,753ALBUMIN 22,753

Biochemistry contd…..AST 20,816ALT 20,816ALP 19,483CHOLESTEROL 5,685AMYLASE 4,978HDL 1,533LDL 1,533TG 1,533VLDL 1,533CK 590Mg 1,501Lipase 128CK-MB 90CSF-SUGAR 2,156CSF-TP 2,156PERITONEAL FLUID SUGAR 166PERITONEAL FLUID PROTEIN 166URINE SUGAR 187URINE PROTEIN 187Drain fluid Amylase 30Urinary Sodium 114Urinary Potassium 93Urinary Calcium 10Urinary Creatinine 128Urinary Uric acid 10

Arterial Blood Gas

PO2 9,301

PCO2 9,301

PH 9,301

Potassium (K) 9,301

Sodium (Na) 9,301

Calcium (Ca) 9,301

Chloride (Cl) 9,301

TOTAL ABG = 65,107TOTAL BIOCHEMISTRY = 4,95,171

2013 2012 2011 2010 2009 2008

Haematology 500124 492666 445600 402601 237732 138385

Biochemistry 495171 482005 311504 262180 263189 209508

50000

150000

250000

350000

450000

550000

Histopathology - Audit

no of specimen No. of blocks histopathology slide

cyto slides

7081042

1454

77

neurosurgery surgery ortho urology forensic0

50

100

150

200

250

300

350

303

267

67

23

48

Histopathology statistics as per departments

Type of tissue processed- Surgery

Type of tissue processed- Neurosurgery, ortho, urology & forensic

Disc M

ateria

lBone

Ligam

entum Fl

avum

Brain

Leptomen

ingeal

Cysts

Blood Clot

Nerve T

issue

Eye,O

rbital ti

ssue

Urethral

tissue

kidney

Foren

sic0

102030405060708090 78

84

10

23

7

26

74

2

26

5

48

HistopathologyTrauma surgery Forensic

Cytology

2011 2012 20130

1020304050607080

13 12

2936

6877

No.of Samples No.of Slides

2011 2012 20130

20406080

100120140160180

24

6448

69

128

6575

177160

No. of Specimen No. of Blocks No. of Slides

2011 2012 20130

200

400

600

800

1000

1200

1400

443

554

631651

860

977

1071

13451294

No. of Specimen No. of Blocks No. of Slides

Mucosal infarction

Nerve degeneration

TB ulcer

Keloid

FB granuloma

Diffuse alveolar damage

Int. Parasite

Fungal emboli

13-69, 10X 13-69, 40X

13-171, 4X,

Osteoma

Fat emboli

Foot ulcer- actinomycosis

Fibrous dysplasia

13-549, 4X

13-549, MT

13-569, 4X

13-569, 20X

Mucocele

Fibrous DysplasiaLeptomeningeal cyst

Foot ulcer- ActinomycosisTraumatic neuromaMucocele

Leptromeneingeal cystPost HI- Carotid AFibromusculardysplasia

13-549, 4X

Completed Funded projects• Study of novel chemokine RANTES (Regulated upon

Activation, Normal T cell Expressed, and Secreted) levels in plasma, cerebrospinal fluid and contused brain tissues as a marker of immune activation in Traumatic Brain Injury (TBI) patients

• Evaluation of Coagulation status among North Indian Blood Donors using Thromboelastography and conventional methods

• Evaluation of early prediction markers of DIC in trauma patient

• Study of coagulation and inflammatory changes in patients with post-traumatic fracture shaft femur undergoing intra medullary nailing

Publications in 2013• Deepti Sukheeja, Janani Shanmugam, Arulselvi Subramanian, Sanjeev

Lalwani. Can a post mortem skin biopsy predict the cause of death? J of lab physicians 2013, 5, 121-123

• Gaurav Chhabra, Subhadra Sharma, Arulselvi Subramanian, Deepak Agrawal, Sumit Sinha, A K Mukhopadhayay. Coagulopathy as a prognostic indicator for isolated head injury patients. Journal of Emergencies, Trauma, and Shock, 2013, 6, 180-185

• Arulselvi Subramanian, Deepti Sukheeja, Vivek Trikha, Venencia Albert, Arbind Kumar Pandey, Ravindra Mohan Pandey. Evaluation of serum creatinine kinase (CK) and urinary myoglobin as markers in detecting development of acute renal failure in severely injured trauma patients. ISRN Emergency Medicine, vol 2013, article ID 241036, 8 pages, 2013, doi: 10.1155/2013/241036.

(CONTD)

• Sarita Mohapatra, Jyotish C Samantaray, Subramaniyan Arulselvi, Arnab Ghosh. Disseminated intravascular coagulation following malaria due to plasmodium vivax: a thromboelastography based study. Malaria Journal, 2013, 12,336.Doi:10.1186/1475-2875-12-336.

• Neha Agarwal, Arulselvi Subramanian, Ravinder Mohan Pandey, Sulekha Karjee, Vedanand Arya. An audit of fresh frozen plasma usage in a tertiary trauma care center in north India. Indian Journal of Hematology and Blood Transfusion. ISSN 0971-4502

• Pooja Pallavi, Rajesh Sagar, Manju Mehta, Subhadra Sharma, Arulselvi Subramanium, Farah Shamshi,Utpal Sengupta, Rizwana Qadri, Ravindra M Pandey,Asok K Mukhopadhyay. Serum neuro trophic factors in adolescent depression: Gender difference and correlation with clinical severity. Journal of Affective Disorders 150 (2013) 415-423. JAD-D-13-00127R1

• Deepti Sukheeja, Pankaj Dawar, Deepak Gupta, Arulselvi Subramanian “Post-Traumatic Leptomeningeal Cyst in Child: A Case Report and Review of Literature,” International Journal of Case Reports in Medicine, 2013, Article ID 533543. (CONTD)

• Pankaj Kumar, Deepak Kumar, Gupta, Bhawani Shankar Sharma, Arulselvi S, Shivanand Gamangatti. Extensive calvarial tuberculosis presenting as exophytic ulcerated growth on scalp in an infant: an interesting case report with review of literature. Childs Nervous System 2013. DOI: 10.1007/s00381-013-2097-5

• Hemlata Panwar, Senthil Kumar V, Vivek Trikha, Arulselvi Subramanian. Post-Traumatic? Post -infective? Loose Bodies in right elbow joint– A Case report. JETS 2013:volume 6, issue 2, 129-131

• Medha, Arulselvi Subramanian, Ravindra Mohan Pandey, Chhavi Sawhney, Ashish Upadhayaya, Venencia Albert. Incidence, Clinical predictors and Outcome of acute renal failure among North Indian trauma patients. Journal of emergency, trauma and shock. 2013: 6, 21-28

• Chhavi Sawhney, Arulselvi Subramanian, Manpreet Kaur, Azaz Anjum, Venencia Albert, Kapil Dev. Soni, Ajit Kumar. Assessment of hemostatic changes after crystalloid and colloid fluid preloading in elective trauma patients using standard coagulation parameters and thromboelastography-- a randomised trial. Saudi Journal of Anaesthesia, 2013: volume 7, issue 1, 48-56

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