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STD #3 Extreme Blood and Urine Test Panel, 15 Tests

A STD #3 Extreme Blood and Urine Test Panel includes Chlamydia/Gonococcus Nucleic Acid Amplification (NAA), Rapid Plasma Reagin (RPR) Qualitative, Hepatitis B Surface Antigen, Human Immunodeficiency Virus 1 and 2 Test, Herpes Simplex Virus (HSV) Types 1 and 2 IgG, Hepatitis A Antibody IgM Blood Test, Hepatitis C Antibody with reflex on positive plus the Hepatitis Add-On Panel that includes Comprehensive Metabolic Panel (CMP-14), Iron w/Total Iron Binding Capacity (TIBC), Ferritin Serum, Antinuclear Antibodies (ANA) Direct, Ceruloplasmin, Prothrombin Time (PT), Urinalysis Complete, Alpha-1 Antitrypsin.

Sample Report

Test Code: 23140

Also Known As:

Methodology: See Individual Tests

Preparation: Fasting for 12 hours required. Patient should not urinate one hour prior to collection. Stop biotin consumption at least 72 hours prior to the collection.

Test Results: 3-5 days. May take longer based on weather, holiday or lab delays.

Test Code: 2261

Also Known As:

Methodology: See Individual Tests

Preparation: Fasting for 12 hours required. Patient should not urinate one hour prior to collection. Stop biotin consumption at least 72 hours prior to the collection.

Test Results: 3-5 days. May take longer based on weather, holiday or lab delays.


The #3 Extreme Blood and Urine STD Testing Panel includes:

The most common bacterial sexually transmitted disease (STD) in the US, Chlamydia is more common among people 15-25 years of age. An estimated 3 million Americans or more are infected with Chlamydia each year. Many people do not experience any symptoms, so cases often go undiagnosed and unreported but over 1 million new cases are reported each year. Diagnosis and treatment of Chlamydia is very important to prevent long-term complications and spread of the infection to others. Chlamydia is usually transmitted through sexual contact (oral, vaginal, or anal) with an infected partner. Risk factors include having co-infection or previous infection with another STD, multiple sex partners, and not using barrier contraception consistently. An infected mother may spread the disease to her baby during childbirth. These infants are in danger of developing conjunctivitis, an inflammation that can threaten eyesight, and pneumonia.

Gonorrhea is an easily treated STD, but left untreated can cause severe reproductive and health problems.

RPR, Qualitative - tests for the bacterium that causes syphilis, Treponema pallidum. Syphilis is an infectious disease most often spread by sexual contact, including direct contact with a syphilis sore (chancre). Syphilis is easily treated but left untreated can cause severe health problems. Infected mothers can also pass the disease to the fetus, with serious and potentially fatal consequences for the baby.

RPR, Quantitative - False-positive reactions for the RPR can occur due to pregnancy, drug addiction, collagen vascular disease, and advanced age. False-positive results have also been noted in the presence of many nonsyphilis infectious diseases and inflammatory states. False-positive RPR results have also been reported in patients vaccinated against influenza and hepatitis C.

Hepatitis B Surface Antigen (HBsAg) is a protein antigen that is produced by HBV. It is the earliest indicator of acute hepatitis B and often identifies infected people before symptoms appear. During the recovery period, HBsAg disappears from the blood. In certain people (particularly those infected as children or those with a weak immune system, such as those with AIDS), chronic infection with HBV may occur and HBsAg remains positive.

The HIV Antigen/Antibodies Test is the recommended standard rapid test for routine HIV Screening. It typically sees quick results in just 1-2 business days and is one of the most affordable HIV tests available. The HIV Antigen/Antibodies test, also known as a 4th Generation HIV Test, looks for both antibodies to the HIV virus and the p24 Antigen which is specific to HIV. Antibodies to HIV typically begin to develop several weeks after exposure. In the majority of people, these antibodies will be detectable by 12 weeks from the point of exposure. In some people, antibodies may be detectable as early as 4 weeks from exposure. The p24 Antigen is a viral protein which makes up the majority of the HIV viral core (capsid). P24 Antigen levels are typically highest a few weeks after exposure and drop to undetectable levels during the time when antibodies begin to develop. The combination of screening for both antibodies and antigen allow this test to detect a significantly higher number of early infections than previous generations of HIV screening.

Hepatitis C Antibody - Following the development of specific and sensitive testing for hepatitis B, 90% of post-transfusion hepatitis is now hepatitis C. A gene product (c100) of hepatitis C virus (HCV) was isolated and an assay for anti-HCV was then developed. The assay detects antibody to a presumptive flavivirus or togavirus which may be an etiologic agent of non-A, non-B hepatitis (which may not be a unitary disease entity). Hepatitis C serology will correlate with surrogate tests for non-A, non-B hepatitis (ALT and anti-HBc) for blood donors. Since hepatitis C serology identifies a broader group of infected individuals than surrogate testing does, it reduces risk of HCV during transfusion. Studies conducted in hemophiliacs indicate that antibody to HCV is a reliable marker of HCV.

Herpes Simplex Virus (HSV) I and II.  Herpes simplex viruses which are more commonly known as herpes, are categorized into two types: herpes type 1 (HSV-1, or oral herpes) and herpes type 2 (HSV-2, or genital herpes). Herpes type 1 most commonly causes sores around the mouth and lips (sometimes called fever blisters or cold sores). HSV-1 may cause genital herpes, but most cases of genital herpes are caused by herpes type 2. In HSV-2, the infected person may have sores around the rectum or genitals. Although HSV-2 sores may occur in other locations, these sores generally are found below the waist.

CMP-14 Includes:
Glucose-Blood sugar level, the most direct test to discover diabetes, may be used not only to identify diabetes, but also to evaluate how one controls the disease. Kidney Profile Bun or Urea Nitrogen BUN is another by-product of protein metabolism eliminated through the kidneys and an indicator of kidney function.  Creatinine, Serum  An indicator of kidney function.  Bun/Creatinine Ratio Calculated by dividing the BUN by the Creatinine. Liver panel Protein, Total Together with albumin, it is a measure of the state of nutrition in the body. Albumin Serum one of the major proteins in the blood and a reflection of the general state of nutrition.  Globulin, Total A major group of proteins in the blood comprising the infection fighting antibodies.  Albumin/Globulin Ratio Calculated by dividing the albumin by the globulin. Bilirubin, Total A chemical involved with liver functions. High concentrations may result in jaundice. Alkaline Phosphatase A body protein important in diagnosing proper bone and liver functions. Aspartate Aminotransferase (AST or SGOT)an enzyme found in skeletal and heart muscle, liver and other organs. Abnormalities may represent liver disease. Alanine Aminotransferase (ALT or SGPT) an enzyme found primarily in the liver. Abnormalities may represent liver disease. Fluids & Electrolytes Sodium One of the major salts in the body fluid, sodium is important in the body's water balance and the electrical activity of nerves and muscles. Potassium Helps to control the nerves and muscles. Chloride Similar to sodium, it helps to maintain the body's electrolyte balance. Carbon Dioxide, Total Used to help detect, evaluate, and monitor electrolyte imbalances. Calcium- A mineral essential for development and maintenance of healthy bones and teeth. It is important also for the normal function of muscles, nerves and blood clotting).

Total Iron Binding Capacity (TIBC) - measures the amount of transferrin, a blood protein that transports iron from the gut to the cells that use it. Your body makes transferrin in relationship to your need for iron; when iron stores are low, transferrin levels increase, while transferrin is low when there is too much iron. Usually about one third of the transferrin is being used to transport iron. Because of this, your blood serum has considerable extra iron-binding capacity, which is the Unsaturated Iron Biding Capacity (UIBC). The TIBC equals UIBC plus the serum iron measurement. Some laboratories measure UIBC, some measure TIBC, and some measure transferrin.

Ferritin is a protein inside of cells that stores iron for later use by your body. The small amount of ferritin that is released into blood reflects the total amount of storage iron. Iron is also stored as hemosiderin, a complex of iron, proteins, and other materials. Ferritin and hemosiderin are present primarily in the liver but also in the bone marrow, spleen, and skeletal muscles. In healthy people, most iron is stored as ferritin (an estimated 70% in men and 80% in women) and smaller amounts are stored as hemosiderin.

The ANA Test identifies the presence of antinuclear antibodies (ANA) in the blood. These auto antibodies attack the bodys own cells, causing signs and symptoms such as tissue and organ inflammation, joint and muscle pain, and fatigue. The presence of ANA is a marker of an autoimmune process and is associated with several autoimmune disorders but is most commonly seen in the autoimmune disorder systemic lupus erythematosus (SLE). Depending on the patients symptoms and the suspected diagnosis, ANA may be ordered along with one or more other auto-antibody tests. Other laboratory tests associated with presence of inflammation, such as erythrocyte sedimentation rate (ESR) and/or C-reactive protein (CRP) may also be ordered.

The Prothrombin Time (PT) test measures how long it takes for a clot to form in a sample of blood. The PT test is usually measured in seconds and is compared to values in healthy individuals. Because the reagents used to perform the PT test vary from one laboratory to another and even within the same laboratory over time, the normal values also will fluctuate. To standardize results across the U.S. and the world, a World Health Organization (WHO) committee developed and recommended the use of the Internationalized Normalized Ratio (INR) with the PT test for patients who are receiving the blood-thinning medication warfarin (Coumadin). The INR is a calculation that adjusts for changes in the PT reagents and allows for results from different laboratories to be compared. Most laboratories are now reporting both PT and INR values whenever a PT test is performed.

Ceruloplasmin is a copper-containing enzyme that plays a role in the bodys iron metabolism. Copper is an essential mineral that is absorbed into the body through diet. Absorbed in the intestines it is then transported to the liver, where it is stored or used in the production of a variety of enzymes. The liver binds copper to apoceruloplasmin to produce ceruloplasmin and then releases it into the bloodstream. About 95% of the copper in the blood is bound to ceruloplasmin. Because of this, the ceruloplasmin test can be used along with one or more copper tests to help diagnose Wilsons disease and evaluate copper metabolism.

Alpha-1 Antitrypsin (AAT) - Detection of hereditary decreases in production of a1-antitrypsin (a1AT). Decreased or nearly absent levels of a1AT can be a factor in chronic obstructive lung disease and liver disease. An increased prevalence of non-MM phenotypes is found with cryptogenic cirrhosis and with CAH. Cirrhosis in a child should raise consideration of a1AT deficiency or Wilson disease. Diagnosis of inflammatory states, if elevated (eg, rheumatoid arthritis, bacterial infection, neoplasia, vasculitis).

Urinalysis Complete with Microscopic Examination - Detects abnormalities of urine and urinary tract infection (UTI); diagnoses and manages renal diseases, urinary tract infection, urinary tract neoplasms, systemic diseases, and inflammatory or neoplastic diseases adjacent to the urinary tract.

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