The document provides statistics on the number of samples processed and tests performed by the Department of Laboratory Medicine at AIIMS, New Delhi across hematology, coagulation, fluids analysis, biochemistry, and blood gas analysis. It summarizes key findings including over 4.8 lakh biochemistry tests conducted, increasing test volume over the years, and lists interesting histopathology cases examined across various specialties including orthopedics, neurosurgery, surgery, and forensic pathology. It also outlines completed and ongoing research projects conducted at the department.

1. DEPT OF LABORATORY MEDICINE
JPNATC, AIIMS, NEW DELHI
Histopathology, Cytopathology Hematology, Biochemistry
and Forensic Pathology,

2. HEMATOLOGY
PARAMETERS NO. OF SAMPLES PROCESSED
Hb/TLC/Hct/RBC count 45,014 each
MCV/MCH/MCHC/RDW 45,014 each
DLC 44,350
Platelet count 45,363
Reticulocyte count 1,435
ESR 3,328
Peripheral Blood Smears 5,022
Hemato-progenitor cells (HPC) 24,350
Immature platelet fraction (IPF) 1,435
TOTAL 4,85,395

3. COAGULATION TESTS
PARAMETERS NO. OF SAMPLES
PROCESSED
PT 25622
APTT 25593
INR 25600
TT 3,836
Fibrinogen 3,628
D-dimer 3,475
Thromboelastogram (TEG) 4,274
TOTAL 54,428

4. FLUIDS (CSF/PERITONEAL/PLEURAL), URINE ANALYSIS
PARAMETERS NO. OF SAMPLES
PROCESSED
Urine R/M 7392
Urine Myoglobin 809
Urine Fat globules 43
CSF/ pleural/ ascitic fluid 902
TOTAL 9,146

5. P Vivax

6.  Patient X,41 yr/M
 Hb-7.7 gm/dl
 TLC- 59,460/cmm
 PBS- target cells,
 NRBC- 80/100 WBC
 cTLC-17500/cmm
 s/o Thalassemia

7. BIOCHEMISTRY
TEST
SAMPLES PROCESSED
S. Sugar 12461
S. Urea/Creatinine 39976/39976
S. Ca++/Phos- 33756/33674
S. Uric acid 21108
S. Na+/K+ 38797/38794
T.BIL./Direct BIL 24341/24110
T.Protein/Albumin 24367/24369
ALP 24361
S. Cholesterol 3528
S. Amylase/Lipase 3005/16
S. HDL/LDL/TG/VLDL 761 Each

8. BIOCHEMISTRY
S. CK 350
S. Mg 1124
CK-MB 21
CSF-SUGAR/T Protein 860/831
Peritoneal fluid- Sugar/Protein 26/29
Drain fluid Amylase 29
24 hour Urine protein/ sugar 25/25
Urinary Calcium 626
Urine Creatinine 527
Urine osmolarity 11
Serum osmolality 12

9. ABG ANALYSIS
PO2/CO2/PH 4500 each
Na+/K+/Ca++/Cl-
4500 each
Biochemistry
Total test: 4,80,083

10. TOTAL TESTS IN HEMATOLOGY & BIOCHEMISTRY
4.3
4.9 4.8
5.3 5.4
4.2
4.6
4.9 4.9 4.8
2012 2013 2014 2015 2016
Hemat (lacs) Biochem (lacs)

11. 369
1120
1291
0
200
400
600
800
1000
1200
1400
Specimens Tissue blocks Histo slides
Number
369
1120
1291
Histopathology

12. 257
62
50
177
General Sx
Neurosurg
Ortho
Forensic
HISTOPATHOLOGYSTATISTICS AS PER
DEPARTMENTS

13. 13
12
21
12
19
11
5
11
10
General Surgery- Frequency of specimens

14. specimen
GENERAL SURGERY- FREQUENCY OF SPECIMENS

15. disc material
synovial/ fibrous tissue
bone
membranes
others(sequestrum.loos
e bodies)
ORTHOPEDICS- SPECIMENS

16. Series 1
6 8
22
14
5 7
Numberofcases
Type of specimen
NEURO SURGERY

17. 13 12
21
12
19
11
5
11 10
14
81
Forensic
pathology

18. CYTOPATHOLOGY
0
5
10
15
20
25
30
cytopathology
2015 2016

19. HISTOPATHOLOGY CASES
Orthopedics
 Intraosseous haemangioma
 Osteochondroma
 Infantile fibromatosis
 Tuberculosis vertebrae
Neurosurgery
 Growing skull fracture
 Meningeocele
 Traumatic neuroma, Schwannoma
 Tubercular brain abscess

20. Surgery
 Nasal glioma
 Marjolin ulcer- Sq cell CA
 BCC
 Glomus tumor, Pyogenic granuloma
 Mature cystic teratoma

21.  Forensic pathology
 Lungs- aspiration pneumonia, Difffuse alveolar
hemorrhage, TB.
 Heart- coronary atherosclerosis
 Liver- Hepatitis, liver fibrosis, fatty liver
 Kidney- Diabetic nephropathy

22. INTERESTING HISTOPATHOLOGY CASES

23. PAPILLARY CARCINOMA THYROID METASTASIS IN
A CERVICAL LYMPH NODE
 37-year-old male, alleged
h/o RTA,
 cervical vertebra (C6) burst
fracture with anterolisthesis
grade I.
 No palpable thyroid mass
 Clinical- granulation tissue
with d/d of heterotopic
thyroid gland/ Koch’s
disease was made.
 Biopsy 1. granulation tissue 0.8 ×
0.4 × 0.2 cm ) 2. cervical lymph
node ( 0.5 × 0.5 × 0.2 cm)
brownish

24. ECTOPIC PANCREAS IN STOMACH
 55 year, M, h/o trivial
trauma
 Had c/o pain in
abdomen- 2 day, h/o
malena- 3 episode
 Exploratory laprotomy
was done for gastric
perforation
 On IHC: CK+
 Chromogranin -
 Ki-67 -low

25. ECTOPIC PREGNANCY IN TRAUMA VICTIM
 A 32 year F h/o of assault
by her husband
 FAST positive with mild
pericardial effusion,
 UPT was positive,
 Ultrasound- ruptured
ectopic
 Histopath- products of
conception confirmed

26. MOLLUSCUM CONTAGIOSUM
 Mass on left, lower eye lid-
3 months
 Gross- 7 mm to 5 mm
tissue

27. 5. INFECTION
Gastric perforation margin for
HPE- Candida
Right upper limb skin biopsy-
Degloving injury, Mucor

28. 6. PULMONARY METASTASIS OF DFSP
 K/C/O Recurrent
DFSP- scalp
 CT chest- Left lower
lobe tumor
 IHC- CD34+

29. AUTOPSY- NEUROCYSTICERCOSIS
 Deceased 70 year F
 h/o recurrent seizure- 3
years
 MRI (AIIMS)- s/o
Neurocysticercosis, 1
month back
 Sudden death

30. AUTOPSY- FAT EMBOLISM
 Brought death case
 Died after Ilizarov
procedure
 Suspicious of Fat
embolism

31. AUTOPSY- PTTM IN A CASE OF CA COLON
(PULMONARY TUMOR THROMBOTIC MICROANGIOPATHY)
 23 year, M
 presented with alleged h/o found
unconscious
 Clinical diagnosis- refractory sepsis
with ventilator associated
pneumonia with acute kidney
injury.
 Past h/o- known case of IBD and t/t
with Azathioprim and prednisolone
 Lost to follow up since last 8 month
 HPE- pulmonary tumor cell emboli
with recanalization and intimal
fibrocellular proliferation of small
arteries.
 A postmortem diagnosis of poorly
differentiated signet ring cell
carcinoma of colon with PTTM

32. COMPLETED PROJECTS
 Identification of circulating procoagulant markers in traumatic brain
injury patients and their involvement in development of Early Trauma
Induced Acute Coagulopathy (ETIC). ICMR 2012-12610, 1.6.14 to
30.5.16
 Histopathological evaluation of Traumatic brain injury (TBI) induced
gastro intestinal injury (Institute project) (2014-15)

33. ONGOING PROJECTS
 Identification of novel circulating procoagulant microparticles in
traumatic brain injury patients and their involvement in
Pathophysiology of Early Trauma Induced Acute Coagulopathy
(DBT)
 Study of coagulation response in thrombocytopenic Head injury
patients receiving platelet transfusion (ICMR)
 Assessment of platelet function in patients with acute traumatic Brain
injury (Institute)
 Utility on novel Coated Platelets as a marker for early
prognostication of neurocognitive impairment following traumatic
injury (DST, Cognitive science research initiative (CSRI))