Malaria Parasite Exam
| 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. Malaria Parasite Exam | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
| Hospital: |
Test ID :
MALEX
Test Workstation :
SCOPE
Specimen Type:
Blood
Tube Type:
Purple top (EDTA) tube: Whole Blood
Collection Volume:
Purple top (EDTA) and Four fingerstick slides, 2 thick and 2 thin blood smears
Cause for Rejection:
Improperly collected blood smears (thick smear preps are too thick, blood sloughs off upon drying).
Storage:
Ambient
Availability:
Daily (slide prep: 24 hours) Slide exam: 0700-1630
Methodology:
Microscopic evaluation of Wright's stained blood film
Special Instructions:
Smears should be made prior to febrile paroxysm. If fever is unpredictable, do fingerstick at the beginning of temperature rise. If patient is symptomatic, find out if patient has visited foreign countries recently, has a headache, nausea, fever, chills or is vomiting.
Lab/Phone:
330-543-8416
TAT:
24 hours
Additional Info:
Results will be finalized after Pathologist review.
Reference range: No organisms seen
CPT Code:
87207
Synonyms:
Malaria Smear; Malaria Parasites; Parasites Blood; Bloodborne Parasites Stain
