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A routine coagulation screen will include an INR & APTT only. Fibrinogen and TCT will be performed if specifically requested or at the discretion of Haematology staff for further investigation as required. | A routine coagulation screen will include an INR & APTT only. Fibrinogen and TCT will be performed if specifically requested or at the discretion of Haematology staff for further investigation as required. | ||
D-Dimer, and Factor Assays require one full Blue top | D-Dimer, and Factor Assays require one full Blue top. | ||
=== Investigation of coagulation disorders === | === Investigation of coagulation disorders === | ||
Unexplained abnormalities in | Unexplained abnormalities in coagulation screens will be investigated under the direction of the Head of Department and/or Senior scientists. If a bleeding disorder is suspected, please phone the laboratory or a Clinical Haematologist for advice on further testing. | ||
=== Factor VIII === | === Factor VIII === | ||
Routine Factor VIII assays are batched and performed weekly on Thursday. If this assay is requested urgently outside of 0800hrs to 2000hrs Monday to Friday, and on public holidays, a Haematology | Routine Factor VIII assays are batched and performed weekly on '''Thursday'''. If this assay is requested urgently outside of 0800hrs to 2000hrs Monday to Friday, and on public holidays, a Haematology scientist will be called in to perform this assay. Laboratory staff may contact the requesting Doctor to confirm that the call back is required. | ||
== Thrombophilia screen == | == Thrombophilia screen == | ||
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'''Note:''' The existence of underlying conditions, drugs and treatment need to be considered as these may be the causative agents of clot formation. | '''Note:''' The existence of underlying conditions, drugs and treatment need to be considered as these may be the causative agents of clot formation. | ||
It is advised to contact a Clinical Haematologist for advice on appropriate thrombophilia screen requests. | |||
== Malaria == | == Malaria == | ||
Please include clinical details on the form including recent travel locations, previous history of malaria and which type if positive. | Please include clinical details on the form including recent travel locations, previous history of malaria and which type if positive. | ||
Malaria screen is performed by LAMP PCR, and if positive followed up with immunochromatography (ICT) for malarial antigens, and thin film examination for species identification. | Malaria screen is performed by NAAT LAMP (loop-mediated isothermal amplification) PCR, and if positive followed up with immunochromatography (ICT) for malarial antigens, and thin film examination for species identification. | ||
The required sample type is EDTA whole blood and can be performed from the same tube as the CBC. | The required sample type is EDTA whole blood and can be performed from the same tube as the CBC. | ||
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Last reviewed | Last reviewed 10/09/2026 by Grace Lim | ||
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