2020 PRICE GUIDE SMALL ANIMAL
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Contents
Submitting Samples 3
Our Pathology Team 4-5
Top-Up Testing 6-7
At-a-glance Profile Table 8-9
Biochemistry Tests 10 - 11
Additional Biochemistry Tests 12 - 13
Autoimmune Disease 13
Haematology 14
Thyroid Endocrinology 15
Adrenocortical Endocrinology 16 - 17
Reproductive Endocrinology 18 - 19
Therapeutic Drug Monitoring & Toxicology 20
General Microbiology 21
Faecal Analysis 22 - 24
Dermatology Testing 24
Urinalysis 25
Infectious Disease 26 - 32
PCR Testing 33- 34
Allergy Testing & Immunotherapy 35 - 37
Cytology 38 - 40
Histopathology 41 - 43
Exotic Animal Services 44 - 45
MiLab in-house analysers 46 - 51
Index 52 - 61
Terms & Conditions 62 - 63
2 email@finnpathologists.comHandy Hints and Tips
Handy Hints and Tips
1. Please ensure patient details and a succinct clinical history are included on the submission form.
2. Ensure antibiotic treatment is detailed on microbiology submissions.
3. Submitting a fresh blood smear helps us give you the best haematology service.
Sample Checks Before Referral
1. Check that the correct tube is used for the test (see below and also refer to our price guide)
2. Check the sample volume required for a specific test and if in doubt please phone us.
3. For all anti-coagulated tubes mix gently but thoroughly to prevent clotting.
4. Use a small wooden stick to check for clots in EDTA samples by gently stirring and scooping the blood.
5. If a plain/gel sample is to be centrifuged before being submitted check that the sample has clotted
before centrifugation to avoid a ‘jelly’ supernatant.
IMPORTANT NOTE: Samples should be sent in appropriate packaging not only to ensure best quality of
result but also to ensure the wellbeing of those handling these packages. If you are unsure on how best to
package your sample, please do not hesitate to contact the team or see our guides on our website. Please
be aware that making inappropriately packaged samples safe to handle adds extra time and cost to the
process and persistent receipt of such packages may incur a Safe Handling charge. We will always consult
you in such instances.
FINN Blood Tube Identification
EDTA LITHIUM HEPARIN
1.3ml (pink top) 1.3ml (orange top)
For haematology EDTA is best for Heparin is an anticoagulant
preservation of cell morphology. which prevents clotting.
EDTA is the sample tube of choice for cytology RED CELLS are NOT needed for the vast majority
(with a plain tube if culture is required). of biochemical tests and presence may lead to
Please fill to the fill line. haemolysis. Whole heparin is the preferred sample for short
samples, e.g. exotics and fractious cats, as it can be used for
PLAIN/ SERUM cell counts with a fresh film. Heparin is not as good as EDTA
1.3ml (white top) for preservation of cell morphology.
Allow the sample to clot, then
centrifuge and separate serum from the clot SODIUM CITRATE
and decant into a new plain tube prior to sending. 1.3ml (green top)
RED CELLS are NOT needed for the vast majority of Used for coagulation testing.
biochemical tests and presence may lead to haemolysis It is essential that this tube is
correctly filled as the anticoagulant to
GEL BARRIER 1.3ml blood ratio is crucial. The sample may be
(brown top) centrifuged and separated citrated plasma
Allow the sample to clot, placed in a plain tube. This must then be
then centrifuge. The gel sits between clearly stated on the form and tube. May also be
the cells and serum protecting the serum from used for D-Dimer. Separated and frozen citrated
any haemolysis. The gel may interfere through possible plasma must be used for vWF testing.
absorption with the concentration of certain hormones.
Some therapeutic drug concentrations are reduced when a
sample is stored in a gel tube for greater than 2 hours.
Telephone: 01379 854180 3Finn Pathologists Pathology Team
Melanie Dobromylskyj Mark Wessels David Shearer Annalize Ide
(Head of Histopathology) (Deputy Head) BVetMed PhD CertSAD BVSc (Hons) MMedVet
BSc (Hons), BVSc PhD, BVetMed (Hons), PGCert(VetEd) FHEA CBiol (Path) MRCVS
FRCPath MRCVS FRCPath MRCVS MRSB MRCVS
Ann Pocknell Joyce Bass Ladislav Novotny Tom Vicek
DVM MVetSci DipRCPath BVSc (Pret) MMedVet MVDr, PhD, MSc, FRCPath, DVM PhD Dipl ACVP
DipACVP MRCVS (Path) MRCVS MRCVS MRCVS
Chris Knott Maria Jose Pinilla Richard Fox Johan Vorster
BVSc Cert LAS MRCVS DVM MVETMED MRCVS BVetMed DipECVP MRCVS BVSc MMedVet(Path)
Nick Woodger Alistair Cox Debra Fews Gordon Davidson
BSc BVet Med FRCPath BVMS, MSc, MRCVS, BSc BVM&S Cert VA Dip (Resident Histopathologist)
MRCVS FRCPath RCPath FRCPath FHEA BVMS MRCVS
MRCVS RCVS
4 email@finnpathologists.comViviana Le Donne Veterinary Consultants
DVM, MRCVS, PhD,
Diplomate ACVP
Susie Kenefick Simone Knudsen
MA VetMB DiplECVIM- DVM MRCVS
CA MRCVS
Susan McLeish
BVSc MA (BLT) MSc MRCVS
Rachel Millar Barbara Gallagher
BVMS CertSAM MRCVS MVB MRCVS DECVIM-CA
John Dunn
BVM&S MVetSci MA DSAM
DiplECVIM DiplECVCP
FRCPath MRCVS
Jelena Ristic Elizabeth H. Normand
BVetMed DSAM CertVC BVSc CertSAM MRCVS
MRCVS
Jane Miller
BVetMed FRCPath MRCVS
Frances Dunn Ellie Mardell
BVSc MRCVS Cert SAM MA VetMB DSAM
(feline) MRCVS RCVS
Recognised Specialist in
Feline Medicine
Guy Davies
(Resident Clinical Pathologist)
BSC Vet Path (Hons) BVetMed
(Hons) AMRSB MRCVS
Telephone: 01379 854180 5Top-Up Testing
Any of the tests on these two pages can be ordered at a discounted (Top-Up) rate when ordered in conjunction with one of the chemistry profiles
found on pages 10 & 11. This discounted rate only applies if requested at the same time as ordering the chemistry profile. Subsequent requests
for additional testing will be at the list price.
Page Top-Up
Profile Test Price Code
no. Price
CHEMISTRY & ENDOCRINOLOGY
Please specifiy one or more from: Albumin, ALP, ALT,
Amylase, BHB (Ketones) Total Bilirubin, Calcium, Cholesterol,
Individual Chemistry
Chloride, Creatinine, CK, DGGR Lipase, GGT, GLDH, Glucose, 12
Tests
Magnesium, Phosphate, Potassium, Protein, Sodium,
Triglycerides, Urea, Uric Acid
ACTH Stimulation Test
Pre + Post samples required (see protocol on page 16) 16 TOPACTC
Canine
Bile Acid (Basal) 12 TOPBILE
Bile Acid Stimulation
Pre + Post samples required (see protocol on page 12) 12 TOPBAST
Test
Basic Thyroid Profile - TOPT4TSH/
15
Canine TOPFET4TSH
Electrolyte Profile 1 12 TOPELEC
TOPFRUCFE/
Fructosamine 18
K9
Please note that Top-Up Ionised Calcium can only be requested
at the time of submission and only if the appropriate sample
Ionised Calcium 12 TOPIONCA
type has been received, otherwise result will be inaccurate.
See page 12 for sampling protocol.
Phenobarbitone 20 TOPBARB
Canine Pancreatic
13 TOPCPSP
Screening Package
Feline Pancreatic
13 TOPFPSP
Screening Package
Serum Cortisol 16 TOPCORT
Canine B12 & Folate 13 TOPB12FK9
Feline B12 & Folate 13 TOPB12FFEL
TLI*, B12 & Folate
* A fasted blood sample is required for TLI test 13 TOPTLBFLK9
Canine
Total T4 15 TOPT4
TOPTSH/
TSH 15
TOPFETSH
Free T4 Free T4 by equilibrium dialysis 15 TOPFREET4
SDMAR† (Symmetric dimethylarginine)R† 12 TOPSDMA
R
= Referral Test †= Non-discountable Test
Top-Up Testing
If you run a minimum of a pre-surgical profile or more on your MiLab analyser, please attach the results to your
submission to be eligible for any of the top-up tests from these two pages at the discounted top-up rate.
6 email@finnpathologists.comTop-Up Testing
Page Top-Up
Profile Test Price Code
no. Price
HAEMATOLOGY
Comprehensive
Full blood count, platelets and WBC differential count 14 HAEM
Haematology
Coagulation profile PT and APTT 14 TOPCOAG
Coombs Test Investigation of immune-mediated haemolytic anaemia 14 TOPCOOMB
MICROBIOLOGY
Aerobic Culture 21 TOPMICR1
Comprehensive General aerobic/anaerobic/fungal cultures as necessary.
21 TOPMICR3
Culture Identification and sensitivity
Giardia 23 TOPGIAR
Giardia &
23 TOPGRDCR
Cryptosporidium
Lungworm Baermann's test for lungworm 24 TOPFALW
Faecal Profile 1 Selective culture for salmonella & campylobacter 23 TOPFA01
Faecal Profile 1 plus worm egg screen (does not include giardia &
Faecal Profile 2 23 TOPFA02
cryptosporidium)
Faecal Profile 3 Faecal Profile 2 plus testing for giardia & cryptosporidium 23 TOPFA03
Faecal Profile 3 plus testing for parvovirus (comprehensive faecal
Faecal Profile 4 23 TOPFA04
analysis for puppies and kittens)
URINALYSIS
Protein : Creatinine
25 TOPURPC
Ratio
Cortisol : Creatinine
25 TOPURCC
Ratio
Urinalysis 1 Urine biochemistry dipstick, microscopy and specific gravity 25 TOPUR01
Urinalysis 1 PLUS Urinalysis 1 plus protein : creatinine ratio 25 TOPUR01+
Urine biochemistry dipstick, microscopy, specific gravity and
Urinalysis 2 25 TOPUR02
aerobic culture with sensitivity
Urinalysis 2 PLUS Urinalysis 2 plus protein : creatinine ratio 25 TOPUR02+
Urine biochemistry dipstick, microscopy, specific gravity and
Urinalysis 3 25 TOPUR03
aerobic culture with sensitivity and cytology
Urinalysis 3 PLUS Urinalysis 3 plus protein : creatinine ratio 25 TOPUR03+
Telephone: 01379 854180 7Biochemistry Profiles at-a-glance
Diagnostic Chemistry
Diagnostic Chemistry
Liver Profile plus Bile
Biochemistry
Polydipsia Profile
PetScreen Profile
Senior PetScreen
Acid Stimulation
Vomiting Profile
Standard Profile
Pre-anaesthetic
Geriatric Profile
Renal Profile
Basic Profile
Liver Profile
Profiles
Screen 1
Screen 2
Profile
Profile
PETSCN SNPETSCN POLYK9/
Code AVC03 BAS STANP GERI LIVP LIVP+ VOMP RENP DIAG1 DIAG2
+ HAEM + HAEM FE
A:G Ratio l l l l l l l l l l l l l
ACTH Stimulation
Albumin l l l l l l l l l l l l l
ALP l l l l l l l l l l l l
ALT l l l l l l l l l l l l
Amylase l l l
AST l l
B12 & Folate
BHB
Bile Acid Stimulation l
Bile Acids l l l l l l l
Calcium l l l l l l l l l
Chloride l l l l l l l l l
Cholesterol l l l l l l l l
CK l l l l
Creatinine l l l l l l l l l l l
DGGR Lipase l l l
Faecal Analysis
FeLV
FIV
Fructosamine l
GGT l l l l
GLDH l l
Globulin l l l l l l l l l l l l l
Glucose l l l l l l l l l l
Haematology Comprehensive l l l
Magnesium
Phosphate l l l l l l l
Potassium l l l l l l l l l
Sodium l l l l l l l l l
Sodium : Potassium Ratio l l l l l l l l l
T4 l l
TLI
Total Bilirubin l l l l l l l
Total Protein l l l l l l l l l l l l l
Triglycerides l l l l
Troponin I
TSH
Urea l l l l l l l l l l l l l
Basic Urine Screen l l
Price 2020
R
= Referral Test †= Non-discountable Test
8 email@finnpathologists.comBiochemistry Profiles at-a-glance
Intestinal Blood Test
Dermatology Blood
Intestinal Profile 1
Biochemistry
Cardiac Profile
Seizure Profile
Profiles
Screen
Profile
Code SEIZPK9/FE DBSFT4+ INTP01 INTBLO CARMON
A:G Ratio l l l l
ACTH Stimulation
Albumin l l l l l
ALP l l l l
ALT l l l l
Amylase l
AST l l l
B12 & Folate
BHB
Bile Acid Stimulation
Bile Acids l l l l
Calcium l l l
Chloride l l l
Cholesterol l l l l
CK l l l
Creatinine l l l l
DGGR Lipase l
Faecal Analysis l
FeLV
FIV
Fructosamine l
GGT l l
GLDH l l
Globulin l l l l
Glucose l l l l
Haematology Comprehensive
Magnesium
Phosphate l l l
Potassium l l l
Sodium l l l
Sodium : Potassium Ratio l l l
T4 l
TLI
Total Bilirubin l l
Total Protein l l l l l
Triglycerides l l
Troponin I l
TSH
Urea l l l l
Price 2020
R
= Referral Test †= Non-discountable Test
Telephone: 01379 854180 9Biochemistry
Sample Type Turn Around
Profile Test Price Code
Required Time
BIOCHEMISTRY PROFILES
Total protein, albumin, globulin, A:G ratio, urea, creatinine,
Pre-anaesthetic Profile 0.5ml Serum Same Day AVC03
ALP, ALT
Total protein, albumin, globulin, A:G ratio, urea, creatinine,
Basic Profile 0.5ml Serum Same Day BAS
ALP, ALT, glucose, total bilirubin and cholesterol
Basic Profile plus sodium, potassium, Na:K ratio, chloride,
Standard Profile 0.5ml Serum Same Day STANP
calcium, bile acids, CK and phosphate
Geriatric Profile Standard Profile plus T4 1ml Serum Same Day GERI
Total protein, albumin, globulin, A:G ratio, urea, creatinine,
0.5ml Serum PETSCN
PetScreen Profile ALP, ALT, calcium, sodium, potassium, Na:K ratio, phosphate, Same Day
1ml EDTA +HAEM
chloride, glucose and comprehensive haematology
Total protein, albumin, globulin, A:G ratio, urea, creatinine,
Senior PetScreen 1ml Serum 1ml SNPETSCN
ALP, ALT, calcium, sodium, potassium, Na:K ratio, phosphate, Same Day
Profile EDTA +HAEM
chloride, glucose and comprehensive haematology and T4
Total protein, albumin, globulin, A:G ratio, ALP, ALT, AST, GGT,
Liver Profile 0.5ml Serum Same Day LIVP
GLDH, cholesterol, total bilirubin, bile acids and urea
Liver Profile plus Bile 1ml Serum x 2
Liver Profile plus bile acid stimulation test Same Day LIVP+
Acid Stimulation (Pre and Post)
Sodium, potassium, Na:K ratio, chloride, total protein, albumin,
Vomiting Profile globulin, A:G ratio, urea, creatinine, DGGR lipase, glucose, ALP, 0.5ml Serum Same Day VOMP
ALT, calcium, bile acids, triglycerides and amylase
Sodium, potassium, Na:K ratio, chloride, total protein, albumin,
Polydipsia Profile globulin, A:G ratio, urea, creatinine, glucose, ALP, ALT, calcium, 0.5ml Serum Same Day POLYK9/FE
bile acids, cholesterol, triglycerides and fructosamine
Sodium, potassium, Na:K ratio, chloride, calcium, total
Renal Profile protein, phosphate, albumin, globulin, A:G ratio, urea, 0.5ml Serum Same Day RENP
creatinine and glucose
Sodium, potassium, Na:K ratio, chloride, calcium, phosphate,
total protein, albumin, globulin, A:G ratio, urea, creatinine,
Seizure Profile 0.5ml Serum Same Day SEIZPK9/FE
glucose, cholesterol, bile acids, ALP, ALT, AST, CK and
fructosamine
DIAGNOSTIC CHEMISTRY SCREENS
Albumin, A:G ratio; ALP, ALT, amylase, bile acid (single),
Partial Report
calcium, chloride, cholesterol, CK, creatinine, DGGR lipase
Diagnostic Chemistry 0.5ml Serum Same Day,
GGT, globulin, glucose, phosphate, potassium, sodium, Na:K
Screen 1 (Biochemistry and Plain Urine Culture DIAG1
ratio, total bilirubin, total protein, triglycerides, urea and Basic
+ Basic Urine Screen) ** Report up to
Urine Screen (UR02- urine biochemistry dipstick, microscopy,
3 Days
specific gravity & culture)**
Diagnostic Chemistry 0.5ml Serum, Partial Report
Screen 2 (Biochemistry Plain Urine, 1ml Same Day,
Diagnostic Chemistry Screen 1 plus Comprehensive
+ Basic Urine Screen EDTA and Air Culture DIAG2
Haematology**
+ Comprehensive Dried Smear Report up to
Haematology) ** 3 Days
Glucose Testing: Please note that a spun gel/separated serum sample is the preferred sample for glucose measurement. Spun gel/serum
separation should be performed within half an hour of taking the sample. However if using Fluoride Oxalate the tube MUST be filled to the line.
**To qualify for the package price, all required samples must be sent at the time of submission. Samples that follow will be charged at the
list price.
Add Haematology to any of the profiles on these pages for an additional
Quote laboratory code
0.5ml EDTA and an air dried smear required Same day turnaround
HAEM
Include a veterinary Please ensure you provide a full clinical history if interpretation is required. If not ticked
interpretation for an on the submission form, but you wish to discuss the results of a case with a Veterinary
additional Consultant at a later point, a charge will be added for this phone call.
10 email@finnpathologists.comAdditional Biochemistry
Sample Type Turn Around
Profile Test Price Code
Required Time
BIOCHEMISTRY PROFILES CONTINUED
Dermatology Blood Total protein, albumin, urea, creatinine, ALP, ALT,
1ml Serum Same Day DBSFT4+
Screen glucose, cholesterol, bile acids and T4
Chemistry
0.5ml Serum
Total protein, albumin, globulin, A:G ratio, faecal Same Day,
not Heparin &
Intestinal Profile 1 analysis (microscopy and worm egg screen, Culture INTP01
Faeces
selective culture for Salmonella & Campylobacter) Report up to
**
3 Days
Total protein, albumin, globulin, A:G ratio, urea,
Chemistry
creatinine, ALT, ALP, total bilirubin, amylase, sodium,
Intestinal Blood Test 1ml Serum Same Day,
potassium, Na:K ratio, calcium, glucose, AST, GLDH, INTBLO
Profile not Heparin Final Report
GGT, bile acids, cholesterol, triglycerides, DGGR
up to 5 Days
lipase, chloride, phosphate, CK
It can be useful to add a B12 & Folate onto the Intestinal Profile 1 & Intestinal Blood Test Profile when investigating cases of chronic small
intestinal diarrhoea. A TLI can also be used to investigate for EPI. A starved serum sample is required. See test codes below.
Top-Up Canine B12 and Folate TOPB12FK9
Top-Up Feline B12 and Folate TOPB12FFEL
Top-Up Canine TLI, B12 and Folate TOPTLBFLK9
0.5ml Serum
Feline TLIR† Up to 7 Days TLIFEL
not Heparin
Total protein, albumin, globulin, A:G ratio, urea,
Part Report
creatinine, ALT, ALP, bilirubin, sodium, potassium,
1ml Serum Same Day,
Cardiac Profile Na:K ratio, calcium, glucose, AST, GLDH, GGT, CARMON
not Serum Gel Final Report
bile acids, cholesterol, triglycerides, chloride,
up to 4 Days
phosphate, CK, troponin I
Canine/Feline NT- It may be useful to request this test in conjunction 0.5ml EDTA
Up to 7 Days NT-PROBNP
proBNP®R† with the Cardiac Profile above plasma
PROTOCOL: NT PROBNP SAMPLE HANDLING REQUIREMENTS
1. Draw blood into a syringe.
2. Transfer into standard EDTA tubes.
3. Centrifuge immediately to obtain EDTA plasma.
4. Transfer the plasma into a PLAIN tube ensuring a minimum of 0.5ml & label EDTA plasma.
5. Sample should be kept refrigerated before sending to the lab
Samples can be sent to the lab at ambient temperatures but must arrive within 24hrs of sampling. If there is likely to be a delay the
samples should be frozen before sending. Frozen samples can be sent to the lab in normal packaging.
Glucose Testing: Please note that a spun gel/separated serum sample is the preferred sample for glucose measurement. Spun gel/serum
separation should be performed within half an hour of taking the sample. However if using Fluoride Oxalate the tube MUST be filled to the line.
R
= Referral Test †= Non-discountable Test
* A fasted blood sample is required for TLI test.
**To qualify for the package price, all required samples must be sent at the time of submission. Samples that follow will be charged at the
list price.
Telephone: 01379 854180 11Additional Biochemistry
Turn Around
Profile Test Sample Type Required Price Code
Time
Bile Acid (Single) 0.5ml Serum Same Day BILE
Top-Up Bile Acid (Single) TOPBILE
Bile Acid Stimulation Bile acid x 2 (see protocol below) and total
0.5ml Serum x 2 Same Day BAST
Test bilirubin
Top-Up Bile Acid Stimulation Test TOPBAST
PROTOCOL: BILE ACID STIMULATION
1. Starve the patient for at least 12 hours.
2. Collect first sample into a serum gel or plain tube.
3. Feed a high fat meal (suggested meals include puppy/kitten food or recovery diet). The addition of oil is not usually necessary and reduces palatability.
4. Collect a second sample 2 hours post feeding into a serum and gel or plain tube. Request bile acid stimulation testing.
Label tubes with client details and the times the samples were taken.
Please specifiy one or more from: Albumin, ALP, ALT, Amylase, BHB (Ketones) Total
Individual Chemistry Bilirubin, Calcium, Cholesterol, Chloride, Creatinine, CK, DGGR Lipase, GGT, GLDH,
Same Day
Tests Glucose, Magnesium, Phosphate, Potassium, Protein, Sodium, Triglycerides, Urea,
Uric Acid
Top-Up Individual Chemistry Tests
Electrolyte Profile 1 Sodium, potassium, Na:K ratio and chloride 0.5ml Serum Same Day ELEC1
Top-Up Electrolyte 1 TOPELEC
Electrolyte Profile 2 Calcium, phosphate and Ca:P ratio 0.5ml Serum Same Day ELEC2
Ionised Calcium See Protocol Below Same Day IONCA
Top-Up Ionised Calcium TOPIONCA
PROTOCOL: IONISED CALCIUM
1. Collect the blood into a serum tube (not serum gel), ensure the tube is 100% full and avoid the inclusion of air bubbles.
2. Allow 15 minutes for the blood to clot then centrifuge at high speed, remove the serum and place into a completely filled airtight tube.
3. We can provide tubes that hold 0.5ml making it easier to fill completely. Please contact the lab to order.
Label tube with client details.
SDMA (Symmetric Used to detect the early stages of renal 0.5ml Separated Serum or
Up to 3 Days SDMA
dimethylarginine)R† dysfunction in dogs and cats. 0.5ml Heparin Plasma
Top-Up SDMAR† (Symmetric dimethylarginine)R TOPSDMA
Alpha 1 AGP † R
0.5ml Serum/Heparin Plasma Up to 7 Days ALPHA
Canine Prostate
Specific Arginine Prostate hyperplasia 0.5ml Serum Up to 8 Days ODEL
Esterase (CPSE)R†
CRP (C-Reactive
Canine only 0.5ml Serum Same Day CRP
Protein)
Serum Amyloid A (SAA)R† 0.5ml Serum Up to 4 Days SAA
LDH 0.5ml Serum Up to 4 Days LDH
Iron & Total Iron Binding Capacity CombinedR† 1ml Serum Up to 7 Days IRTB
LeadR† 1ml whole EDTA/Heparin Up to 5 Days PB
CopperR† 0.5ml Heparin Plasma Up to 3 Days CU
Up to 2
TaurineR† Cannot run on a haemolysed sample 1ml Serum TAUR
Weeks
Zinc free tubes are available on request,
ZincR† alternatively avoid use of tubes with rubber 0.5ml Serum Up to 4 Days ZINC
bungs.
R
= Referral Test †= Non-discountable Test
12 email@finnpathologists.comAdditional Biochemistry
Sample Type
Profile Test Turn Around Time Price Code
Required
Canine/Feline 0.5ml EDTA
Please refer to protocol below Up to 7 Days NT-PROBNP
NT-proBNP®R† plasma
PROTOCOL: NT PROBNP SAMPLE HANDLING REQUIREMENTS
1. Draw blood into a syringe.
2. Transfer into standard EDTA tubes.
3. Centrifuge immediately to obtain EDTA plasma.
4. Transfer the plasma into a PLAIN tube ensuring a minimum of 0.5ml & label EDTA plasma.
5. Sample should be kept refrigerated before sending to the lab
Samples can be sent to the lab at ambient temperatures but must arrive within 24hrs of sampling. If there is likely to be a delay the
samples should be frozen before sending. Frozen samples can be sent to the lab in normal packaging.
0.5ml Serum
Troponin I Up to 4 Days TROPI
not Serum Gel
Serum Protein
0.5ml Serum Up to 5 Days AXSPE
Electrophoresis
0.5ml Serum
Canine TLI Fasted blood sample required Same Day TLIK9
not Heparin
0.5ml Serum
Feline TLIR† Fasted blood sample required Up to 7 Days TLIFEL
not Heparin
B12 0.5ml Serum Same Day B12
Folate 0.5ml Serum Same Day FOLV
Canine B12 and Folate 0.5ml Serum Same Day B12FK9
Top-Up Canine B12 and Folate TOPB12FK9
Feline B12 and Folate 0.5ml Serum Same Day B12FFEL
Top-Up Feline B12 and Folate TOPB12FFEL
0.5ml Serum
Canine TLI, B12 and Folate Fasted blood sample required for TLI test Same Day TLBFLK9
not Heparin
Top-Up Canine TLI, B12 and Folate TOPTLBFLK9
PANCREATIC SCREENING PACKAGE
This package consists of an initial screening test which will be performed on the day of receipt and reported as positive, negative or equivocal. Any
equivocal results will be sent away to a referral lab for cPLI or fPLI (at no additional cost) and a follow up report issued once received.
Same Day / Follow up
Canine Pancreatic 1ml Serum
Fasted blood sample required Report (If Required) up CPSP
Screening Package not Heparin
to 3 Days
Top-Up Canine Pancreatic Screening Package TOPCPSP
Same Day / Follow up
Feline Pancreatic 1ml Serum
Fasted blood sample required Report (If Required) up FPSP
Screening Package not Heparin
to 3 Days
Top-Up Feline Pancreatic Screening Package TOPFPSP
Serum Osmolarity † R
0.5ml Serum Up to 5 Days SOSMO
AUTOIMMUNE DISEASE
Anti-nuclear Antibodies 0.1ml Serum Up to 7 Days ANA
Acetylcholine Receptor AntibodiesR† 0.3ml Serum Up to 14 Days CSACRAB
Muscle Fibre Antibody Type 2MR† 0.3ml Serum Up to 21 Days CS2MAB
Rheumatoid Factor Waaler-Rose 0.1ml Serum Up to 2 Days ROSE
R
= Referral Test †= Non-discountable Test
Include a veterinary Please ensure you provide a full clinical history if interpretation is required. If not ticked
interpretation for an on the submission form, but you wish to discuss the results of a case with a Veterinary
additional Consultant at a later point, a charge will be added for this phone call.
Telephone: 01379 854180 13Haematology
Test Turn Around
Profile Sample Type Required Price Code
Please submit relevant clinical history Time
Clinical Pathologist haematology blood
Pathologist Haematology smear review and report. This can be
*Same Day PHR
Review added to comprehensive haematology
submissions only
*Please note that requests received after midday cannot be guaranteed to be fulfilled on the same day.
Differential white blood cell count and
Blood Smear Examination
smear exam performed by a highly Air Dried Smear Same Day HAEMEX
Only
trained haematology technician
Comprehensive Haematology Full blood count, platelets and WBC
0.5ml EDTA & Air Dried Smear Same Day HAEMO
only (Canine, Feline, Equine) differential count
Comprehensive Haematology Hb, PCV, WBC Manual differential count, 0.5ml EDTA/ Heparin & Air Dried
Up to 3 Days HAEMAV
only (Exotics, Avians) RBC and Platelet comment Smear
Comprehensive Haematology Comprehensive Haematology added to a
0.5ml EDTA & Air Dried Smear Same Day HAEM
with profile Biochemistry Profile
Comprehensive Haematology Comprehensive Haematology added to a 0.5ml EDTA/ Heparin & Air Dried
Up to 3 Days HAEMAV+
with profile (Exotics, Avians) Biochemistry Profile Smear
HAEMATOLOGY SAMPLING
When obtaining samples for haematology testing, where possible, attempt to obtain sufficient sample to fill sample tubes to the indicated "fill line".
With all reptile and some avian species, blood for haematology must be supplied in heparin tubes.
FILM REPORT
Where abnormalities are present, and/or clinical history indicates, a manual WBC differential and film review will be performed by a highly trained
haematology technician. Reticulocyte counts are added in all feline anaemia cases.
Investigation of immune-mediated
Coombs Test 0.5ml EDTA & Air Dried Smear Same Day COOMB
haemolytic anaemia
Top-Up Coombs Test TOPCOOMB
Manual PCV Packed cell volume 0.2ml EDTA Same Day PCV
Reticulocyte Count 0.5ml EDTA & Air Dried Smear Same Day RET
Buffy Coat Smear Examination 0.5ml EDTA Same Day BUFF
Platelet Count Platelet count + assessment 0.5ml EDTA Same Day PLC
Fibrinogen By heat precipitation 0.5ml EDTA Same Day FIB
Functional assay based on the time for
fibrin clot formation, more sensitive for
Fibrinogen, Clauss Method Citrate Tube Filled to Line 1 Day CFIBR
low fibrinogen levels compared with the
heat precipitation method
Prothrombin Time Single PT Citrate Tube Filled to Line Same Day PT
Coagulation Profile PT and APTT Citrate Tube Filled to Line Same Day COAG
Top-Up Coagulation Profile TOPCOAG
Platelet count + assessment, PT, APTT and Citrate Tube Filled to Line, 0.5ml
Extended Coagulation Profile Same Day COAGEX
fibrinogen EDTA & Air Dried Smear
Haemorrahage Investigation Haemotology, PT, APTT, D-Dimers & 0.5ml Whole EDTA, Air Dried
1 Day HAEMOC
Comprehensive Fibinogen (Clauss) Smear & Citrate Tube Filled To Line
PT: Test to check the extrinsic coagulation pathway, to diagnose vitamin K antagonist toxicity and monitor therapy and to test for hepatic
associated coagulation disorders.
APTT: Test to check the intrinsic coagulation pathway, to diagnose factor VIII, IX, XI and XII deficiencies and to monitor heparin therapy.
Von Willebrand's Factor 0.5ml Citrate Plasma
See protocol below Up to 5 Days VWF
TestingR† FROZEN
PROTOCOL: VON WILLEBRAND’S FACTOR SAMPLE HANDLING REQUIREMENTS
1. Draw blood into a syringe.
2. Transfer into standard Sodium Citrate tube (filled to line).
3. Centrifuge immediately to obtain citrate plasma.
4. Transfer the plasma into a PLAIN tube ensuring a minimum of 0.5ml & label Citrate plasma.
5. Freeze samples immediately.
Samples need to arrive at the laboratory frozen. Please contact us to request a cool box and ensure that you follow the instructions carefully.
D Dimers (Canine) Citrate Tube Filled to Line 1 Day DDIME
Blood Groups (Canine/Feline) 0.5ml Whole Blood EDTA 1 Day BLGR
R
= Referral Test †= Non-discountable Test
14 email@finnpathologists.comThyroid Endocrinology
Sample Type Turn Around
Profile Test Price Code
Required Time
First line test for diagnosis of hyperthyroidism
Total T4 (Canine/Feline) 0.5ml Serum Same Day TT4
in felines
Top-Up Total T4 (Canine/Feline) TOPT4
TSH (Canine) Test for canine thyroid stimulating hormone 0.5ml Serum Same Day TSH
Top-Up TSH (Canine) TOPTSH
TSH (Feline) 0.5ml Serum Same Day FETSH
Top-Up TSH (Feline) TOPFETSH
Basic Thyroid Profile (Canine) Total T4 and TSH (Canine) 0.5ml Serum Same Day T4TSH
Top-Up Basic Thyroid Profile TOPT4TSH
Basic Thyroid Profile (Feline) Total T4 and TSH (Feline) 0.5ml Serum Same Day FET4TSH
Top-Up Basic Thyroid Profile TOPFET4TSH
CANINE HYPOTHYROIDISM MONITORING
Soloxine, Leventa, Thyroxyl: collect sample 4-6 hours post pill.
Thyforon: collect sample 3 hours post pill.
Trough TT4 (immediately pre pill) can be useful in certain cases. We recommend the Basic Thyroid Profile above.
0.5ml Serum
Free T4 Free T4 by equilibrium dialysis Up to 5 Days FREET4
not heparin
Top-Up Free T4 TOPFREET4
Total T3R† 1ml Serum Up to 3 Days TT3
Thyroglobulin Testing for the presence of thyroglobulin
0.5ml Serum Up to 8 Days TGAA
Autoantibodies (TGAA) autoantibody (canine only)
TSH Same Day
Silver Thyroid Profile 1ml Serum
TSH and Free T4 Free T4 up to 5 THYSIL
(canine only) not heparin
Days
T4/TSH Same Day
Platinum Thyroid Profile 1ml Serum
Total T4, TSH, Free T4 and TGAA Final Report up THYPLAT
(canine only) not heparin
to 8 Days
T4 Same Day
Feline Hyperthyroid 1ml Serum
Total T4 and Free T4 Free T4 up to 5 FEHYTH
Diagnostic Profile not heparin
Days
Feline Hyperthyroid Total T4, urea, creatinine, ALT, ALP, calcium,
0.5ml Serum Same Day FE-HYPERT
Monitoring Profile phosphate
PARATHYROID ENDOCRINOLOGY
0.5ml EDTA Plasma
Used to investigate persistant hypo or
Parathyroid Hormone (PTH)R† Only (Frozen) - Do Not Up To 7 Days PTH
hypercalcaemia
Freeze Whole EDTA
Used to investigate persistent hypercalcaemia. 0.5ml EDTA Plasma
PTHrPR† Increased levels usually associated with Only (Frozen) - Do Not Up To 7 Days PTHRP
malignancy. (Note: specific sample requirements) Freeze Whole EDTA
Please contact the lab for sampling protocol and cool box. Interpretation of PTH & PTHrP requires concurrent measurement of serum
Calcium & Ionised Calcium. Prices & sampling requirements for these tests can be found on page 12.
PARATHYROID HORMONE RELATED PEPTIDE (PTHrP)
• Collect blood into plastic chilled EDTA tube - DO NOT fill completely.
• Mix very well but gently by inversion.
• Centrifuge as quickly as possible (ideally in a refrigerated centrifuge).
• Transfer the plasma into a cooled plastic (not glass) PLAIN tube kept on ice.
• Immediately freeze (< -10°C) the plasma sample and keep frozen until dispatch in the transport pack.
• Contact lab to request a cool box. Sample MUST arrive at lab frozen.
Indications & Uses: Investigation of persistent hypercalcaemia. Increased levels usually associated with malignancy. Interpretation
requires concurrent measurement of serum Calcium and Ionised Calcium: prices and sampling requirements on pages 12.
Add Haematology to any of the profiles above (THYSIL, THYPLAT, FEHYTH, FEHYPERT) for an additional
Quote laboratory code
0.5ml EDTA and an air dried smear required Same day turnaround
HAEM
Telephone: 01379 854180 15Adrenocortical Endocrinology
Sample Type Turn Around
Profile Test Price Code
Required Time
Used as a screening test for hyperadrenocorticism.
The urine sample must be collected first thing in Urine (plain
Cortisol:Creatinine Ratio Same Day URCC
the morning, pre-feeding and must be from a non- universal)
stressed animal.
Top-Up Cortisol:Creatinine Ratio TOPURCC
Used as a screening test for monitoring
hypoadrenocorticism or for the monitoring
Serum Cortisol 0.5ml Serum Same Day CORT
of hyperadrenocorticism pre-trilostane
administration.
Top-Up Serum Cortisol TOPCORT
Cortisol x 2. Pre & post samples required
Canine ACTH Stimulation Test 0.5ml Serum x 2 Same Day ACTHK9
(see protocol below)
Top-Up Canine ACTH Stimulation Test TOPACTC
PROTOCOL: CANINE ACTH STIMULATION TEST
Used to help diagnose hyperadrenocorticism (Cushing's) and hypoadrenocorticism (Addison's).
1. Collect a first, baseline sample in a serum gel or plain tube.
2. Inject 0.005mg/kg synthetic ACTH (e.g. Tetracosactide or Synacthen) intravenously or intramuscularly.
3. Collect a second sample 1 hour later.
4. Submit samples together requesting canine ACTH stimulation test.
Label tubes with client details and the times the samples were taken.
Canine Low-dose Dexametha- Cortisol x 3, Pre + Post samples required 0.5ml Serum
Same Day LDDSK9
sone Suppression Test (see protocol below) x3
PROTOCOL: CANINE LOW-DOSE DEXAMETHASONE SUPPRESSION TEST
Used to help diagnose spontaneous hyperadrenocorticism.
The LDDST is not suitable for the detection of iatrogenic hyperadrenocorticism.
1. Collect a first, baseline sample in a plain tube.
2. Inject 0.015 mg/kg dexamethasone intravenously.
3. Collect a second sample 3 hours post dexamethasone in a plain tube.
4. Collect a third sample 8 hours post dexamethasone in a plain tube.
5. Submit samples together requesting low-dose dexamethasone test.
Label tubes with client details and the times the samples were taken.
MONITORING OF DOGS ON TRILOSTANE (VETORYL) OPTIONS
The clinical picture is very important in decision making about which tests to run and dose changes. Please include as full a current clinical picture
as possible. A clinical assessment questionnaire can be found on the Dechra website, which may be of use. Please feel free to call our internal
medicine consultants if you would like to discuss further.
A sample should be taken pre-pill at the time the
Cortisol pre-pill (single
tablet is due. The tablet can be postponed for up to 0.5ml Serum Same Day CORT
cortisol)
2hrs to allow a sample to be taken pre-pill.
Cortisol pre-pill plus Single cortisol, sodium, potassium & sodium
0.5ml Serum Same Day TRILBAS
electrolytes potassium ratio
Cortisol pre-pill Single cortisol, sodium, potassium, sodium
0.5ml Serum Same Day TRILMON
comprehensive potassium ratio, ALP, ALT, urea & creatinine
ACTH stimulation test 4 - 6 Cortisol x 2. Pre & post samples required (see
0.5ml Serum x 2 Same Day ACTHK9
hours post-pill protocol above).
ACTH stimulation test
Cortisol x 2, sodium, potassium & sodium
4-6 hours post-pill plus 0.5ml Serum x 2 Same Day TRIL1
potassium ratio
electrolytes
ACTH simulation test 4 - 6 Cortisol x2, sodium, potassium, sodium potassium
0.5ml Serum x 2 Same Day VETMON
hours post-pill comprehensive ratio, ALP, ALT, urea & creatinine
16 email@finnpathologists.comAdrenocortical Endocrinology
Turn Around
Profile Test Sample Type Required Price Code
Time
CANINE ADDISONS (HYPOADRENOCORTICISM)
Once a diagnosis has been obtained and therapy is in progress, adrenal function will be further suppressed by the therapy. An ACTH stimulation
test will not provide any further useful information. These cases should be monitored on the basis of electrolyte levels and clinical signs.
Addisonian Diagnostic Cortisol x 2, sodium, potassium (+ ratio) Pre + Post
0.5ml Serum x 2 Same Day ADDIS
Profile samples required (see protocol on p16)
Used to differentiate pituitary dependent
Endogenous ACTH hyperadrenocorticism (PDH) from 0.5ml Separated EDTA
Up To 3 Days SAEAC
Measurement hyperadrenocorticism caused by an adrenal tumour Plasma Only (FROZEN)
(AT)/adrenal dependent hyperadrenocorticism (ADH).
PROTOCOL: ENDOGENOUS ACTH ASSAY:
1. Place plastic EDTA tubes and syringes in freezer for several minutes prior to sample collection.
2. Collect blood into chilled plastic EDTA tube (do not use glass tubes).
3. Centrifuge immediately.
4. Decant plasma into chilled plain plastic tube.
5. Freeze immediately.
6. Contact lab to request a cool box.
7. Sample MUST arrive at lab frozen.
Indications & Uses: Differentiating pituitary dependent HAC from an adrenal tumour, differentiating primary and secondary
hypoadrenocorticism.
Feline Low-dose Dexameth- Cortisol x 3 Pre + Post
asone Suppression Test Used to help diagnose spontaneous samples required (see
Same Day LDDSFE
(cortisol before and after hyperadrenocorticism. protocol below) 0.5ml
dexamethasone) Serum x 3
PROTOCOL: FELINE LOW-DOSE DEXAMETHASONE SUPPRESSION TEST
1. Collect a first, baseline sample in a serum gel or plain tube.
2. Inject 0.1mg/kg dexamethasone intravenously.
3. Collect further samples at 3-4 hours and 8 hours after dexamethasone injection.
4. Submit samples together requesting low-dose dexamethasone test.
Label tubes with client details and the times the samples were taken.
Cortisol x 3, Pre + Post samples required (see protocol
below). This test can be used to investigate possible
Feline ACTH Stimulation
hyperadrenocorticism. Note false negatives can 0.5ml Serum x 3 Same Day ACTHFE
Test
occur with this test. Please phone for advice prior to
requesting this test.
PROTOCOL: FELINE ACTH STIMULATION TEST
Hyperadrenocorticism in cats is rare. This test has a low sensitivity for the detection of hyperadrenocorticism in felines.
1. Collect a first, baseline sample in a serum gel or plain tube.
2. Inject 0.125mg synthetic ACTH (Synacthen) intravenously (0.25mg may be used in cats over 5kg).
3. Collect further blood samples 60 and 90 minutes later (NB: If Synacthen given IM then collect samples at 30 and 60 minutes later. Please note,
however, IV is the preferred route for this test in felines).
4. Submit samples together requesting feline ACTH stimulation test.
Label tubes with client details and the times the samples were taken.
17-OH Progesterone Pre & Additional test for the investigation of hyperadreno-
0.5ml Serum x2 Up to 4 Days 17OHP
Post ACTHR† corticism. Pre & post samples required.
For the investigation of hyperaldosteronism and
Aldosterone (single)R† 0.5ml Serum Up to 7 Days ALDE
sometimes in hypoadrenocorticism
Aldosterone before and after ACTH. Additional test
Aldosterone (pre & post
for the investigation of adrenal diseases. Pre & post 0.5ml Serum x2 Up to 7 Days ALDACT
ACTH)R†
samples required.
2ml EDTA Plasma
ReninR† Lab MUST be contacted before requesting this test. Up to 14 Days RENIN
(FROZEN)
0.5ml Serum (NOT
Combined Aldosterone and
Lab MUST be contacted before requesting this test. FROZEN) 2ml EDTA Up to 14 Days REAL
ReninR†
Plasma (FROZEN)
HYPERALDOSTERONISM
Please contact the lab for the protocol and a cool box as there are specific handling requirements for the renin sample.
R
= Referral Test †= Non-discountable Test
Telephone: 01379 854180 17Reproductive Endocrinology
Sample Type Turn Around
Profile Test Price Code
Required Time
ASSESSMENT OF NEUTER STATUS/DETECTION OF OVARIAN REMNANT AT ALL STAGES OF CYCLE (CANINE/FELINE)
Sensitive test for detection of gonadal tissue and assessment of neuter
Anti-Mullerian status in dogs and cats. Occasional false negatives can occur in dogs
0.5ml Serum Up to 7 Days MULL
HormoneR† in the progesterone dominated phase of the cycle, measurement of
progesterone can help determine status in such cases.
Anti-Mullerian hormone is the test of choice for detecting gonadal tissue and assessment of neuter status (including ovarian remnants)
for adult dogs and cats. Other test options can be found below but false negatives can occasionally occur. Occasional false negatives can
occur in the progesterone dominant phase of the cycle. Measurement of progesterone can aid interpretation in such cases.
OVARIAN REMNANTS (FELINE) IF QUEEN IS SHOWING SIGNS OF OESTRUS
Can be used as a first line screen as increased concentrations suggest
Basal OestradiolR† that ovarian remnant or oestrogen excess due to adrenocortical 0.5ml Serum Up to 8 Days OEST
disease.
Dynamic Pre - Same Day
Progesterone x 2. Pre + Post hCG samples required (see protocol 0.5ml Serum
Progesterone Post - Up to 7 DHCGF
below). x2
Stimulation Test Days
PROTOCOL: DYNAMIC PROGESTERONE STIMULATION TEST
Samples should be taken between day 1 and 3 after the onset of oestrus behaviour.
1. Collect a first, baseline sample in a serum gel or plain tube. Allow to clot and separate serum.
2. Inject 44 iu/kg hCG intramuscularly (please note off licence use).
3. Take a second sample 7 - 14 days later in a plain or serum gel tube. Allow to clot and separate serum.
4. Request progesterone on each sample.
Label tubes with client details and the times the samples were taken.
OVARIAN REMNANTS (FELINE) IF QUEEN IS REMOTE FROM A PERIOD OF SHOWING SIGNS OF OESTRUS
Oestradiol x 2. Pre + Post GnRH samples required (see protocol
Dynamic Oestradiol 0.5ml Serum
below) Used to identify ovarian remnants in feline and can be used Up to 7 Days GRHSTM
Stimulation TestR† x2
when feline is not showing signs of oestrus.
PROTOCOL: FELINE DYNAMIC OESTRADIOL STIMULATION TEST
1. Collect a first, baseline sample in a serum gel or plain tube.
2. Inject 2µg/kg Buserelin/synthetic GnRH (Receptal®, Intervet SP) intramuscularly or 44 iu/kg hCG intramuscularly (please note off licence use).
3. Take a second sample 2 hours later in a serum gel or plain tube.
4. Request GnRH Stimulation test
Label tubes with client details and the times the samples were taken.
OVARIAN REMNANTS (CANINE) IF BITCH IS SHOWING SIGNS OF OESTRUS
Screening test for bitches showing signs of oestrus. Some bitches with
Progesterone
signs of oestrus may have increased progesterone. Progesterone is 0.5ml Serum Same Day PROGK9
(canine)
expected to stay high throughout dioestrus (approximately 60 days).
Screening test; increased oestradiol is consistent with follicular
Basal Oestradiol
activity and is supportive of ovarian remnant. Also for investigation 0.5ml Serum Up to 7 Days OESTC
(canine)R†
of possible Sertoli cell tumour in males.
Pre and post hCG
0.5ml Serum
Dynamic Oestradiol Oestradiol x 2. Pre + Post hCG samples required. Up to 8 Days DYOES
x2
(canine)R†
OVARIAN REMNANTS (CANINE) IF BITCH IS REMOTE FROM A PERIOD OF SHOWING SIGNS OF OESTRUS
Pre and post hCG
False negatives can occassionally occur. Please contact the lab for 0.5ml Serum
Dynamic Oestradiol Up to 8 Days DYOES
further details. x2
(canine)R†
PROTOCOL: PRE AND POST HCG DYNAMIC OESTRADIOL (CANINE)
1. Take basal serum or heparinised plasma sample.
2. Inject 2µg/kg synthetic GnRH (Receptal®, Intervet SP) intramuscularly or 44 iu/kg hCG intramuscularly (please note off licence use).
3. Collect second sample 2 hours later.
4. Oestradiol is measured on both samples.
Label tubes with client details and the times the samples were taken.
R
= Referral Test †= Non-discountable Test
18 email@finnpathologists.comReproductive Endocrinology
Sample Type Turn Around
Profile Test Price Code
Required Time
PRE-MATE TESTING (CANINE)
May be used to help predict ovulation in
bitches. Testing is generally recommended
to begin from 7 days after the onset of
Basal Progesterone 0.5ml Serum Same Day PROGK9
the season. Also used in conjunction with
oestradiol to stage oestrus cycle in bitches
showing ambiguous signs.
CRYPTORCHIDISM (CANINE & FELINE)
Screening test. False negatives common.
Fluctuations occur during the day. Only
Testosterone 0.5ml Serum Up to 4 Days TEST
high levels confirm the presence of
testicular tissue.
Testosterone x 2. Pre + Post hCG samples
Dynamic
required (see protocol below) If testicular
Testosterone 0.5ml Serum x 2 Up to 4 Days CRYTEST
tissue is present then a significant rise in
Stimulation Test
testosterone is detected post stimulation.
PROTOCOL: DYNAMIC TESTOSTERONE STIMULATION TEST (For Feline Testosterone please call for advice prior to sampling)
1. Collect a first, baseline sample in a serum tube
2. Inject 2µg/kg synthetic GnRH (Receptal®, Intervet SP) intramuscularly or 44 iu/kg hCG intramuscularly (please note off licence use).
3. Take a second sample 1 - 2 hours post-injection in a serum gel or plain tube.
4. Request testosterone on each sample
Label tubes with client details and the times the samples were taken
OTHER HORMONES
0.5ml Serum. Allow sample to
clot then spin/separate serum Glucose
Insulin (RIA) and glucose. An insulin result
R
within 30 minutes of sample Same Day
Insulinoma ProfileR† cannot be interpreted unless there is INSGL
collection. Ideally enclose an ice Insulin up to
confirmed, concurrent hypoglycaemia.
pack, otherwise a small decrease 3 Days
in insulin may occur.
Fructosamine 0.5ml Serum Same Day FRUCK9/FRUCFE
Top-Up Fructosamine TOPFRUCK9/FE
Diabetes Profile Fructosamine and glucose 0.5ml Serum Same Day DIABK9/FE
IGF-1R† Insulin Like Growth Factor-1 0.5ml Serum 7 to 10 Days IGF1
Glucose Testing: Please note that a spun gel/separated serum sample is the preferred sample for glucose measurement. Spun gel/serum
separation should be performed within half an hour of taking the sample. However if using Fluoride Oxalate the tube MUST be filled to the line.
R
= Referral Test †= Non-discountable Test
Telephone: 01379 854180 19Therapeutic Drug Monitoring & Toxicology
Sample Type Turn Around
Profile Test Price Code
Required Time
0.5ml Serum
Phenobarbitone Same Day BARB
not Serum Gel
Top-Up Phenobarbitone TOPBARB
Phenobarbitone Phenobarbitone, ALT, ALP, GGT, albumin and total 0.5ml Serum
Same Day PHENOM
Monitoring bilirubin not Serum Gel
Extended Phenobarbitone 0.5ml Serum
Phenobarbitone Monitoring plus AST and bile acids Same Day PHENEX
Monitoring not Serum Gel
Extended Phenobarbitone Extended Phenobarbitone Monitoring plus cholesterol 0.5ml Serum
Same Day PHENEX+
Monitoring Plus and triglycerides not Serum Gel
PHENOBARBITONE
It is advisable to check hepatic function during therapy. In stable animals sample timing is not critical. In un-stable animals consider a peak and
trough sample.
0.5ml Serum
Digoxin Up to 4 Days DIG
not Serum Gel
Part Report Same
Digoxin, ALT, ALP, total protein, albumin, globulin, 1ml Serum
Digoxin Monitoring Profile Day, Digoxin up to DIGMON
urea, creatinine, sodium, potassium (+ ratio) not Serum Gel
4 Days
PROTOCOL: DIGOXIN
Serum levels, after initial diagnosis, should be given 5-7 days to adjust. A blood sample obtained 3-8 hours post dosing is to determine peak levels.
Be aware that in some animals digoxin has a short half life and peak levels may develop within 3 hours of dosing. It is advisable to monitor liver and
renal function and Na:K ratio at the same time.
1. Collect a serum sample 3-8 hours post dosing.
2. Label the tube with the patient details.
Do not use glass containers with rubber stoppers as it may bind the drug and decrease measured concentrations.
0.5ml Serum
Potassium Bromide Up to 4 Days POTB
not Serum Gel
POTASSIUM BROMIDE (KBR)
Potassium Bromide levels do not stabilise until the patient has been on therapy for at least 2-3 months.
The same sample taken for monitoring phenobarbitone levels is acceptable for monitoring potassium bromide levels.
The timing of the sample is not critical for this assay.
Combined Potassium Phenobarbitone
1ml Serum
Bromide and Same Day PHBRO
not Serum Gel
Phenobarbitone KBr up to 4 Days
Sample collection 12 hours after last dose for trough, 0.5ml Whole
CyclosporinR† Up to 3 Days CYCLO
peak 2 - 4 hours post pill. EDTA
Keppra (Levetiractetam)R† Sample collected at trough directly before the next dose. 0.5ml Serum Up to 3 Days KEPP
TOXICOLOGY
We recommend a minimum volume of 2ml whole blood or plasma or serum; 5ml plain urine (10 ml if paraquat and/or diquat required); 10g fresh
tissue; 10g feed or contaminated materials; 5ml stomach contents, as applicable. Samples from at least two different sites are preferable as many
drugs leave the blood relatively quickly. Samples may be frozen. Formalin fixed tissue or faeces is unsuitable. If insufficient sample is received, it
may not be possible to complete all the requested tests and the sensitivity of toxin/drug detection could be reduced.
Screens for 30,000 drugs and toxins. Please contact
Toxicology PanelR† the lab to check that the panel includes the drugs and See above Up To 7 Days TOXP
toxins you require.
Toxicology Panel plus Ethylene GlycolR† See above Up To 7 Days TOXPEG
Ethylene Glycol † R
See above Up To 7 Days ETHG
Warfarin and Coumarin DerivativesR† See above Up To 7 Days WCD
This test is particularly helpful in cases where blood
is the only sample type available and is routinely
Vitamin K1/K1 Epoxide † R
Whole Heparin Up To 12 Days K1EP
recommended for suspected Vitamin K antagonist
rodenticide toxicity.
For other toxins, please contact the laboratory.
R
= Referral Test †= Non-discountable Test
Include a veterinary Please ensure you provide a full clinical history if interpretation is required. If not ticked
interpretation for an on the submission form, but you wish to discuss the results of a case with a Veterinary
additional Consultant at a later point, a charge will be added for this phone call.
20 email@finnpathologists.comGeneral Microbiology
Sample Type Turn Around
Profile Test Price Code
Required Time
Aerobic Culture with Sensitivity Tissue/Fluid/Swab 2 to 3 Days MICRO1
Top-Up Routine Aerobic Culture with Sensitivity TOPMICR1
Anaerobic Culture Tissue/Fluid/Swab 2 to 3 Days MICR2
Comprehensive General aerobic/anaerobic/fungal cultures as necessary.
Tissue/Fluid/Swab 2 to 3 Days MICR3
Culture Identification and sensitivity
Top-Up Comprehensive Culture TOPMICR3
GUIDELINES FOR BACTERIAL CULTURE
Please note any information regarding antibiotic treatment, either current or recent, on the submission form.
Aerobic and Anaerobic Culture: This would be recommended for most samples submitted.
Aerobic Culture: This is suitable for bacteria growing in oxygen-rich areas, such as superficial skin, conjunctiva, ears and urine.
Anaerobic Culture: This is suitable for bacteria that can live in the absence of oxygen as with blood, bile, bone marrow, CSF, direct lung aspirates,
tissue biopsy or fluid from a normally sterile site (such as joint or body cavity), abscesses, deep wounds and deep skin infections. Susceptibility
testing is not performed on organisms usually considered to be commensal to aid with antibiotic governance (except if specifically requested).
Sample requirements: Charcoal swabs, plain fluids and fresh tissue are recommended samples. EDTA tubes and viral transport media swabs are
not recommended as they can inhibit bacterial growth.
Aerobic culture with sensitivity and a Gram stain for
Ear Swab Examination Charcoal Swab 2 to 3 Days EARS
yeast cells
Ear Swab Examination Aerobic culture, basic cytology smear exam & Charcoal Swab & 2
2 to 7 Days EARS+
PLUS microscopic exam for parasites & yeast culture unstained smears
Examination for Tissue/Fluid/Swab/
Gram stain examination Same Day GRAM
Bacteria/Yeasts Slides
Aerobic and anaerobic culture with sensitivity. Please
contact the Lab to obtain blood culture bottles
Blood Culture/Joint
(additional charge) and sampling instructions. Blood Culture Bottle 8 to 10 Days BLOC
Fluids
Culture of additional bottles for the same patient are
charged at 50% of the list price
Nocardia/Actinomyces Culture Tissue/Swab 7 to 14 Days NOAC
Examination for
Ziehl-Neelsen staining for Mycobacteria Tissue Up to 2 Days ZN
Mycobacteria
A charcoal swab
of both nostrils &
Screening for MRSA/ Selective culture for screening carriers of methicillin buccal mucosa and
2 to 3 Days MRSA
MRSP resistant Staphylococci. a second charcoal
swab of the axilla &
perineum
Routine culture from environmental swabs to help
Environmental
Environmental monitor hygiene controls. Includes total viable count,
Swabs (request from Up to 7 Days MICENV1
Monitoring bacterial identification, yeast and fungal culture,
laboratory)
selective culture for MRSA/MRSP
Mycoplasma Culture Tissue/Fluid/Swab Min of 7 Days MYCOP
Mycobacterium Fresh tissue is the preferred sample type, however
Fresh Tissue/Pus Up to 6 Weeks MYBAC
CultureR† pus/fluid can be submitted if required.
Multi-Resistance Screening Panel using Sensititre
Microbroth dilution plate. Appropriate for request Aerobic Bacterial
MIC Determination† Up to 4 Days MICE
following a culture report exhibiting multi-drug Isolate
resistant antimicrobial susceptibility results.
Identification of a cultured isolate. If you are struggling
to identify a bacterial isolate you have cultured in
Isolate Identification house, send it to us for a second opinion. Please check Bacterial Isolate 7 to 14 Days IDENT
transport regulations before sending cultured isolate or
contact the laboratory for further guidance
BACTERIAL CULTURE PRICING - MULTIPLE SAMPLES
Please note that when submitting samples for any of the above cultures or stains that if submitting more than one sample (for example, two
swabs) for one case, only the first sample will be charged at the full price. All subsequent samples will be charged at 50% of the list price. If you
specially wish multiple samples to be pooled and treated as one and therefore charged just once, please specify this on the submission form.
R
= Referral Test †= Non-discountable Test
Telephone: 01379 854180 21Faecal Packages at-a-glance
Feline panleukopenia virus PCR
Feline enteric cornoavirus PCR
Giardia intestinalis (AtoF) PCR
Cryptosporidium Microscopy
Clostrdium perfringens type
Canine distemper virus PCR
Tritrichomonas foetus PCR
Giardia immunotographic
Clostridium perfringens
Campylobacter culture
Cryptosporidium PCR
Salmonella spp. PCR
Clostridium culture
Parvovirus Antigen
Salmonella Culture
Yersinia culture
Parvovirus PCR
Parasitology
antigen test
enterotoxin
A. PCR
Laboratory
Test Code Price 2020
FA01 /
l l
TOPFA01
FA02 /
l l l
TOPFA02
FA03 /
l l l l l
TOPFA03
FA04 /
l l l l l l
TOPFA04
WEC l
FAEX2 l l l
PCCGI l l l l l l
PCCGE l l l l l l l l
PCFGI l l l l l l
PCFGE l l l l l l l l l
GRDCR l l
GIARO l
CRYPO l
FACA l
FASA l
YER l
CLOSC l
CLOST l
When working up a case of diarrhoea the following tests may also merit consideration:
B12 and folate (starved serum sample, see p13): useful in investigation of chronic small intestinal diarrhoea.
TLI (starved serum sample, see p13): used to investigate for EPI.
A Canine/Feline B12 & Folate (TOPB12FK9/TOPB12FFEL) or Canine TLI, B12 & Folate (TOPTLBFLK9) can be added to our Faecal Profiles
FA01, FA02, FA03 or FA04 at the reduced Top-Up price providing all of the required samples are submitted together at the time of submission (it
is not possible to add the test on at the Top-Up price following the original submission).
Intestinal Profile 1 (0.5ml serum and faeces, see p11)
Total protein, albumin, globulin, A:G ratio, faecal analysis (microscopy and worm egg screen, selective culture for Salmonella & Campylobacter).
Intestinal Blood Test Profile (1ml serum, see p11)
Total protein, albumin, globulin, A:G ratio, urea, creatinine, ALT, ALP, total bilirubin, amylase, sodium, potassium (+ ratio), calcium, glucose, AST,
GLDH, bile acids, cholesterol, triglycerides, lipase, chloride, phosphate & CK.
A Canine/Feline B12 & Folate (TOPB12FK9/TOPB12FFEL) or Canine TLI, B12 & Folate (TOPTLBFLK9) can be added to either of the Intestinal
Profiles above at the reduced Top-Up price providing all of the required samples are submitted together at the time of submission (it is not
possible to add the test on at the Top-Up price following the original submission).
22 email@finnpathologists.comFaecal Analysis
Sample Type Turn Around
Profile Test Price Code
Required Time
Faecal Profile 1 Selective culture for Salmonella & Campylobacter Faeces 2 to 3 Days FA01
Top-Up Faecal Profile 1 TOPFA01
Faecal Profile 1 plus worm egg screen (does not include At least 3g of
Faecal Profile 2 2 to 3 Days FA02
Giardia & Cryptosporidium) faeces
Top-Up Faecal Profile 2 TOPFA02
Faecal Profile 2 plus testing for Giardia & At least 3g of
Faecal Profile 3 2 to 3 Days FA03
Cryptosporidium faeces
Top-Up Faecal Profile 3 TOPFA03
Faecal Profile 3 plus testing for parvovirus At least 3g of
Faecal Profile 4 2 to 3 Days FA04
(comprehensive faecal analysis for puppies and kittens) faeces
Top-Up Faecal Profile 4 TOPFA04
A Canine/Feline B12 & Folate (TOPB12FK9/TOPB12FFEL) or Canine TLI, B12 & Folate (TOPTLBFLK9) can be added to our Faecal Profiles
FA01, FA02, FA03 or FA04 at the reduced Top-Up price providing all of the required samples are submitted together at the time of
submission (it is not possible to add the test on at the Top-Up price following the original submission).
Canine B12 and Folate 0.5ml Serum Same Day B12FK9
Top-Up Canine B12 and Folate TOPB12FK9
Feline B12 and Folate 0.5ml Serum Same Day B12FFEL
Top-Up Feline B12 and Folate TOPB12FFEL
Canine TLI, B12 and 0.5ml Serum
Fasted blood sample required for TLI test Same Day TLBFLK9
Folate not Heparin
Top-Up Canine TLI, B12 and Folate TOPTLBFLK9
At least 3g of
Worm Egg Screen Microscopic examination for worm eggs and Coccidia Same Day WEC
Faeces
At least 3g of
Basic Faecal Screen Worm egg screen plus Giardia and Cryptosporidium Same Day FAEX2
Faeces
Giardia Immunochromatographic antigen test Faeces Same Day GIARO
Top-Up Test for Giardia TOPGIAR
Giardia Microscopy Faeces 2 Days GIARD
Giardia intestinalis (assemblages A to F) PCR Faeces Up To 6 Days PCGIA
Cryptosporidium Microscopy Faeces Same Day CRYPO
Cryptosporidium spp. PCR Faeces Up To 6 Days PCCRY
Giardia &
Immunochromatographic antigen test/microscopy Faeces Same Day GRDCR
Cryptosporidium
Top-Up Test for Giardia & Cryptosporidium TOPGRDCR
Selective culture for Campylobacter & Salmonella, worm At least 3g of
Exotic Faecal Analysis 2 to 3 Days EXFAE
egg screen, Giardia & Cryptosporidium Faeces
Gram stain examination of faecal smear from exotic
Faecal Gram Stain Faeces Same Day FGRAM
species
Faeces/Tissue/
Campylobacter Selective Culture 2 to 3 Days FACA
Swab
Faeces/Tissue/
Salmonella Selective Culture 2 to 3 Days FASA
Swab
Salmonella spp PCR Faeces Up To 6 Days PCSAL
Faeces/Tissue/
Yersinia Selective Culture 2 to 3 Days YER
Swab
Clostridium Anaerobic culture for the isolation of Clostridium spp. Faeces 2 to 3 Days CLOSC
R
= Referral Test
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