Centralized Core Laboratory - Cleveland Clinic Laboratories :
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PATIENT INFO
Patient Name:
Medical Record #:
BD: //Sex: F M
PHYSICIAN INFO
Physician Name :
Address:
Ph: ()-Fax: ()-
Additional Report to:
Ph: ()-Fax: ()-
TESTS REQUESTED
Test Name:
ICD9 Code: (required)
1. CK Isoenzymes
2.
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SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
CKISO
Test Workstation :
CLEVE
Specimen Type:
Blood
Tube Type:
Gold top SST (serum separator tube, no anticoagulant)
Alternate Tube Type:
Red Top Serum
Collection Volume:
2.5 mL
Minimum Volume:
1.5 mL
Cause for Rejection:
Grossly hemolyzed specimens will be rejected. Specimens preserved in citrate, EDTA, fluoride, heparin, or iodoacetate are unacceptable.
Storage:
Frozen
Availability:
Sent to reference lab
Methodology:
Electrophoresis; Enzymatic
Special Instructions:
Total CK should be > 100 U/L to provide meaningful isoenzyme results.
Remove serum from cells ASAP
CKMB and CKBB are temperature labile. Repeated freeze/thaw cycles destroy CK activity.
Lab/Phone:
330-543-8418
TAT:
3-4 days
Additional Info:
See patient report for Reference Range.
CPT Code:
82550, 82552
Panel Includes:
Creatine Kinase, % CKMB, % CKMM, % CKBB
CK Isoenzymes
Test ID/Workstation :
CKISO
Specimen Type:
Blood
Tube Type:
Gold top SST (serum separator tube, no anticoagulant)
Collection Volume:
2.5 mL
Cause for Rejection:
Grossly hemolyzed specimens will be rejected. Specimens preserved in citrate, EDTA, fluoride, heparin, or iodoacetate are unacceptable.
Storage:
Frozen
Availability:
Sent to reference lab
Methodology:
Electrophoresis; Enzymatic
Special Instructions:
Total CK should be > 100 U/L to provide meaningful isoenzyme results.
Remove serum from cells ASAP
CKMB and CKBB are temperature labile. Repeated freeze/thaw cycles destroy CK activity.
Lab/Phone:
330-543-8418
TAT:
3-4 days
Additional Info:
See patient report for Reference Range.
CPT Code:
82550, 82552
Panel Includes:
Creatine Kinase, % CKMB, % CKMM, % CKBB
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There are 10 nurses in the picture.
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The five differences are:
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The two matching doctors are 9 and 14.
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The correct path:
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