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Submission form<br />
<strong>General</strong><br />
Business Hours: Mo - Fr: 8:00 - 19:00 h, Sa: 9:00 - 13:00 h<br />
Clinic address:<br />
(please print your name and address)<br />
Fax/e-mail: _______________________________________<br />
Fax/e-mail: _________________________________________________<br />
Tel.: _______________________________________<br />
Date and signature:<br />
Sex: F M F.N. M.N.<br />
Customer-No. / Barcode<br />
Sample: Owners address:<br />
Whole blood<br />
Serum<br />
(please write in block letters)<br />
Plasma<br />
Urine / uroliths<br />
Name: _______________________________________<br />
Faeces<br />
Scraping / hair<br />
First name _______________________________________<br />
Swab<br />
Aspirate<br />
Street: _______________________________________<br />
Origin:<br />
Zipcode/city: _______________________________________<br />
Interpretation<br />
Notification:<br />
Patient: Dog Cat Horse Other: _________________________________ Name: ____________________________<br />
Sample quality: Haemolytic Lipaemic Icteric Centrifuged<br />
Date of sampling: ___________________________<br />
Profiles - Small animals<br />
1006<br />
6002<br />
Large Screening<br />
+ Compl. Blood Count (45)<br />
"FIP"-Screening (Cat)<br />
+ Compl. Blood Count (45)<br />
Large Feline Profile<br />
+ Compl. Blood Count (45)<br />
NaFB+S/1ml<br />
EB/1ml<br />
(α-Amylase, Lipase, Glucose, Fructos., Chol., Bili, AP, GLDH, ALT,<br />
AST, CK, Protein, Albumin, Globulin, Triglycerides, γ-GT, Urea,<br />
Crea, PO4, Mg, Ca, K, Na, Fe, Na/K-ratio)<br />
S+EB/1ml<br />
EB/1ml<br />
(AST, Bili, Protein, Electrophoresis, Coronavirus-Ab)<br />
6013<br />
S/1ml<br />
EB/1ml<br />
("FIP", FeLV, FIV + Large Screening)<br />
6003<br />
Small Feline Profile<br />
S/1ml<br />
("FIP", FeLV, FIV, Protein, Albumin, Alb/Glob-ratio)<br />
1008<br />
S+EB/1ml + H/5ml<br />
1015<br />
Geriatric Profile (Dog,<br />
Cat)<br />
with<br />
1008<br />
U-P/C or<br />
Cystatin C<br />
additional CPSE!<br />
2089<br />
2090<br />
with U-P/C or Cystatin C<br />
(ALT, GLDH, AP, Proteine, Urea, Crea, Fructosamine, Albumin,<br />
CK, K, Ca, Na, PO4, Fe, Complete Blood Count, T4)<br />
Anaemia Screening (Basal) EB+S/1ml<br />
(Complete Blood Count, Reticulocytes, Fe, Protein, Bili.)<br />
8030<br />
Anaemia Screening (Dog) EB+S/1ml<br />
(Complete Blood Count, Reticulocytes, Fe, Protein, Bilirubin +<br />
PCR-tests: Babesia, Ehrlichia canis, Anaplasma phagozytophilum, 1200<br />
Mycoplasma haemocanis)<br />
8033<br />
Anaemia Screening (Cat) EB+S/1ml<br />
(Complete Blood Count, Reticulocytes, Fe, Protein, Bilirubin,<br />
Coombs Test, Mycoplasma haemofelis PCR-test)<br />
1014<br />
Pre-OP Screening<br />
CP+S+EB/1ml<br />
(ALT, Urea, Crea, Small Blood Count, Quick,TP)<br />
2088<br />
Vector-born Diseases<br />
S/1ml<br />
(Borrelia-Ab, Babesia-Ab, Anaplasma-Ab)<br />
2667<br />
2266<br />
1108<br />
Profiles - Exotics<br />
1004<br />
Rodent Profile<br />
+ Compl.<br />
Blood Count (45)<br />
S/0,5ml<br />
EB/1ml<br />
Fax<br />
Breed: ___________________________<br />
Travel Profiles<br />
Canine<br />
Travel Profile 1<br />
South-West Europe:<br />
Leishmania-Ab (ELISA), Ehrlichia-canis-Ab,<br />
Babesia-Ab<br />
Canine<br />
Travel Profile 2<br />
Canine<br />
Travel Profile 3<br />
Leishmania-Ab, Ehrlichia-Ab, Hepatozoon (PCR),<br />
Microfilaria (PCR)<br />
(Urea, Crea, Protein, AST, GLDH, γ-GT, AP, CK, K,<br />
Na, Ca, Mg, PO4, Fructosamine)<br />
Reptile Profile (large) S/0,4ml<br />
(AP, GLDH, ALT, AST, Bile acid, CK, Protein,<br />
Albumin, Urea, Uric acid, PO4, Ca, K, Na)<br />
Ferret Profile<br />
S/0,5ml<br />
Glucose, Trigly., y-GT, AST, CK, LDH, Protein,<br />
Amylase, Globulin, Urea, Crea, Ca<br />
Phone<br />
E-mail<br />
Courier<br />
Chip-/Tattoo No.: ___________________________<br />
Cardiology Profile<br />
EB+EP** / 1ml<br />
Clotting<br />
+ Compl. Blood Count (45)<br />
**=EDTA-plasma in Aprotinin tube<br />
Hematology<br />
35<br />
Compl. Blood Count EB/2ml<br />
595<br />
Coagulation Status CP/1ml !<br />
(LDH, GLDH, CK, Na, K, pro-BNP)<br />
BARF Profile<br />
S/3ml !<br />
(Ca, P, Cu, Zn, Iodine*, Vit. A*, Vit. D, T4, Mn)<br />
Export Profiles<br />
please<br />
ask<br />
(Bird, Reptile)<br />
215<br />
Morphology<br />
1010<br />
Leucogram<br />
129<br />
Reticulocytes<br />
618<br />
Blood group<br />
BS<br />
EB/1ml<br />
EB/1ml<br />
EB/1ml<br />
(PT, PTT, clotting-time)<br />
592<br />
Fibrinogen<br />
597<br />
Factor VIII<br />
594<br />
Factor IX<br />
593<br />
v. Willebrand-antigen<br />
CP/1ml<br />
CP/1ml<br />
CP/1ml<br />
CP/1ml<br />
Export to: ___________________________<br />
(Cool or frozen)<br />
Further requests: _________________________________________________________________________________________________________<br />
Case history: _________________________________________________________________________________________________________<br />
D000110230010D<br />
000110230010<br />
2025<br />
2026<br />
2028<br />
2404<br />
S/1ml<br />
EB+S/1ml<br />
Eastern Europe, Balkan:<br />
Ehrlichia canis-Ab, Babesia-Ab, Anaplasma<br />
phagozytophilum-Ab, Microfilaria (PCR)<br />
Feline Travel Profile EB+S/1ml<br />
We are at your disposal - Feel free to call us!<br />
Date of birth: ____________________________<br />
Previous Lab-No.: _______________________________________________________<br />
1100<br />
Avian Profile<br />
S/0,4ml<br />
(LDH, AST, Amylase, Uric acid, Bile acid,<br />
Cholinesterase, CK, Protein, Albumin, Globulin,<br />
GLDH, Na, K, Ca, PO4)<br />
Profiles - Large animals<br />
Equine<br />
Large Screening<br />
+ Compl. Blood Count (45)<br />
EB/1ml<br />
(AP, γ-GT, Bili, Chol., Glucose, AST, LDH, GLDH, CK,<br />
Protein, Albumin, Globulin, Urea, Crea, Ca, Mg, K, Na, Fe,<br />
PO4, Cu, Zn, Se)<br />
EB/1ml<br />
(AP, γ-GT, Bili, chol., Glucose, AST, GLDH, CK, Albumin,<br />
Globulin, Urea, Crea, Protein, Lactate, Ca, Mg, K, Na, Fe,<br />
PO4, LDH, Triglycerides)<br />
Equine Senior Profile S,EB,NaFB<br />
+ Compl. Blood Count (45)<br />
EB/1ml<br />
(Urea, Crea, PO4, Ca, Bili, γ-GT, GLDH, Protein, Albumin,<br />
Globulin, Glucose, Triglycerides, Zn, Se)<br />
Ruminant Performance<br />
Profile<br />
+ Compl. Blood Count (45)<br />
NaFB+S/1ml<br />
Equine Small Screening S/1ml<br />
+ Compl. Blood Count (45) EB/1ml<br />
(GLDH, y-GT, LDH, CK, Urea, Crea, Protein, Triglycerides)<br />
Equine<br />
Performance Profile<br />
+ Compl. Blood Count (45)<br />
NaFB+S/1ml<br />
Foal Profile<br />
S/1ml<br />
+ Compl. Blood Count (45) EB/1ml<br />
(Triglycerides, Urea, Crea, Protein, Electrophoresis, γ-GT,<br />
Na, Ca, Mg, PO4)<br />
HB+S/1ml<br />
EB/1ml<br />
(Protein, Urea, Chol., GLDH, NEFA, AST, γ-GT, Bili, Ca,<br />
PO4, Mg, β-HBS, β-Carotin, Glutathionperoxidase)<br />
7500<br />
Downer Cow Syndrome S/1ml<br />
(Ca, PO4, Mg, AST, CK, Urea, Protein, Triglycerides)<br />
4010<br />
Mineral Profile<br />
S/3ml<br />
(Mn, Zn, Se, Cu, Na, K, Ca, Mg, P, Cl, Fe)<br />
Sample material: A=swab, AM=abort mat., AS=ascites, BS=blood smear, CP=citrate-plasma, EB=EDTA-blood, EP=EDTA-plasma, F=<br />
feather, FA=faeces, Gw=tissue, H=urine, HA=hairs, HP=heparin-plasma, HS=urinary stones, HT=skin, K=scurf, KM=bone marrow,<br />
L=liver, LQ=liquor, Ln=lymph node, M=spleen, MH=morning urine, N=kidney, NaFB=natrium-fluorid-blood,<br />
NaFP=natrium-fluorid-plasma, NSP=nasal lavage, S=serum, SV=synovia, TA=order spec. swab, V=vomit, Z=tick, HB=heperin-blood,<br />
*=partnerlab,<br />
!=cooled + centrifugated<br />
7700<br />
1006<br />
Mediterranean countries, Canary Islands:<br />
Leishmania-Ab (ELISA), Ehrlichia canis-Ab,<br />
Babesia-Ab, Hepatozoon (PCR), Microfilaria (PCR), 7500<br />
Anaplasma platys (PCR)<br />
2027<br />
EB+S/1ml<br />
1008<br />
2528<br />
7300
Liver<br />
1001<br />
1002<br />
Liver Screening<br />
S/1ml<br />
1003<br />
(ALT, GLDH, AP, γ-GT, Bili (I+II), Protein, Alb, Bile acid)<br />
S/1ml<br />
1128<br />
Kidney / Urine<br />
2000<br />
Initial Screening<br />
S/0,5ml<br />
(Urea, Creatinine)<br />
2002<br />
Kidney Screening<br />
S/1ml<br />
(Urea, Crea, Protein, Alb, Na, K, Ca, PO4)<br />
3008<br />
Polydipsia/-uria +55, EB+H+NaFB+S<br />
(Glucose, ALT, GLDH, AP, Ca, Protein, Urea, Crea, Small<br />
Blood Count, Urine Status, Na, K)<br />
2005<br />
2007<br />
2022<br />
2001<br />
163<br />
1600<br />
161<br />
2275<br />
Pancreas<br />
3001<br />
Pancreas<br />
Screening<br />
+ Compl.<br />
Blood Count (45)<br />
1230<br />
3002<br />
Initial Screening<br />
Dog: ALT, GLDH, AP<br />
Cat: ALT, GLDH, AP<br />
Horse, Cattle: AST, GLDH, y-GT<br />
Serum-Protein<br />
Electrophoresis<br />
Bile acid Stimulation<br />
Test<br />
Protein/Creatinine-ratio<br />
(U-P/C) Renal function evaluation<br />
Microalbumin (Dog, Cat) H/0,5ml<br />
Creatinine Clearance<br />
(Dog, Cat)<br />
Urine Status<br />
incl. sediment<br />
Urinary calculi<br />
Urine Electrophoresis<br />
Bacteriological Culture<br />
incl. Germ count<br />
Antibiogram (if necessary)<br />
COLA Test<br />
(PLI, Cholesterol, Triglycerides, Amylase, Lipase, ALT, AST,<br />
Protein, Na, K, Ca)<br />
PLI (Dog, Cat)<br />
Pancreas-insuff.<br />
Profile<br />
Pancreas Elastase (Dog)<br />
Phenole<br />
Vitamines<br />
Vitamin A*<br />
Vitamin E*<br />
Vitamin D3 (25 OH)<br />
(Ask for species)<br />
3004<br />
Vitamin B12<br />
Folic acid<br />
EB+NaFB+S/1ml<br />
EB+NaFB+S/1ml<br />
NaFB+S/1ml<br />
S/2x0,5ml<br />
H/1ml<br />
S/4x0,5ml<br />
+152 H/5ml<br />
H/3ml<br />
S/0,5ml<br />
(dog)<br />
(cat)<br />
(AST, ALT, Albumin, Na, K, Ca, Glucose, TLI-test)<br />
3100<br />
TLI, B12, Folic acid S/1ml (dog)<br />
(cat)<br />
3003<br />
TLI-Test<br />
S/0,5ml (dog)<br />
(cat)<br />
3012<br />
FA/ca 2g<br />
2008<br />
MH/5ml<br />
Muscular Disease<br />
S/0,5ml<br />
S/1ml !<br />
S/0,5ml !<br />
S/0,5ml !<br />
S/0,5ml<br />
S/0,5ml<br />
D000000000001D<br />
000000000001<br />
HS<br />
H/1ml<br />
H/5ml<br />
4001<br />
Screening<br />
S/1ml<br />
(CK, α-HBDH, AST, LDH, Na, K, Ca, PO4, Mg, Fe,<br />
Na/K-ratio)<br />
563<br />
Acetylcholinreceptor-Ab S/1ml<br />
264<br />
Troponine I<br />
S/0,5ml !<br />
1520<br />
pro-BNP (Dog, Cat) EP/0,5ml !<br />
2213<br />
Cardiac Screening<br />
S/1ml<br />
(CK, α-HBDH, AST, Ca, Mg, K, Troponin)<br />
2267<br />
4009<br />
2269<br />
3005<br />
Seizures<br />
Immunology<br />
5,06<br />
3010<br />
Screening<br />
NaFB+S/1ml<br />
(Glucose, Urea, Ca, PO4, Bile acid)<br />
Others<br />
1051<br />
1510<br />
1040<br />
1041<br />
2087<br />
611<br />
612<br />
1210<br />
179<br />
180<br />
181<br />
8054<br />
748<br />
749<br />
751<br />
750<br />
Immune Status (Dog /<br />
Cat/ Horse / Cattle /<br />
Rabbit)<br />
EB/3ml<br />
(Complete Blood Count, T-cells, B-cells, CD4+,<br />
CD8+, Ratio CD4/CD8) (max 48h old samples)<br />
ANA-test<br />
EP,HP,S/0,5ml<br />
Rheumatoid Factor S/0,2ml<br />
Thrombocyte-Ab EB/0,5ml<br />
IgG (foal,calf)<br />
S/0,5ml<br />
Immunoglobuline A S/0,5ml<br />
Immunoglobuline M S/0,5ml<br />
Coombs Test EB,S/0,5ml<br />
Immunoglobuline G S/0,5ml<br />
Adrenal Cortex<br />
18<br />
141<br />
142<br />
143<br />
183<br />
1123<br />
2094<br />
121<br />
182<br />
Cortisol<br />
ACTH Stimulation<br />
Test<br />
Dexamethason-<br />
Suppression-Test<br />
(Low dose)<br />
Dexamethason-<br />
Suppression-Test<br />
(High dose)<br />
Cortisol/<br />
MH/je 1ml<br />
Creatinine-ratio<br />
17 OH-Progesteron S/0,5ml<br />
Adrenal Profile S/0,7 ml<br />
(Dog, Ferret)<br />
(3 x cortisol)<br />
2532<br />
2530<br />
Aldosterone*<br />
Parathyreoidea<br />
Parathormone<br />
(PTH)*<br />
S/0,5ml<br />
S/2x0,5ml<br />
(Progesterone, Androstendione, Oestradiol)<br />
ACTH<br />
TRH Stimulation<br />
Test (Horse)<br />
Equine<br />
Cushing Profile<br />
+ Compl.<br />
Blood count (45)<br />
S/2x0,5ml<br />
S/3x0,5ml<br />
S/2x0,5ml<br />
S/3x0,5ml<br />
EP/0,5ml !<br />
S/3x0,5ml<br />
EP+S+NaFB/2ml !<br />
EB/1ml<br />
(Insulin, ACTH, Glucose, Fructosamine,<br />
Triglycerides, γ-GT, RISQUI, MIRG)<br />
Pancreas - Endocrine<br />
609<br />
3018<br />
2531<br />
184<br />
IGF (Somatomedin) S/0,5ml !<br />
EPO<br />
S/0,5ml !<br />
cCRP<br />
S/0,5ml<br />
SAA<br />
(Dog/Cat/Horse/Cow)<br />
S/0,5ml<br />
CPSE (prostata) EP,HP,S/0,5ml !<br />
Tumor marker (CEA) S/1ml<br />
Tumor marker (AFP) S/1ml<br />
Insulin<br />
Diabetes<br />
Mellitus Profile<br />
+ Compl.<br />
Blood Count (45)<br />
Equine<br />
Metabolic<br />
Syndrome (EMS)<br />
+ Compl.<br />
Blood Count (45)<br />
EP/0,5ml !<br />
S/1ml !<br />
EB+S/1ml<br />
EB/1ml<br />
(Glucose, Fructosamine, Creatinine, Protein, ß-HBS,<br />
Lipase, ALT, AST, Na, K)<br />
S+NaFB/2ml !<br />
EB/1ml<br />
(Insulin, Glucose, Fructosamine, RISQUI, MIRG)<br />
S/0,5ml !<br />
1840<br />
Parathormone-rP* EP/0,5ml !<br />
Thyroid Gland<br />
137<br />
2148<br />
126<br />
2053<br />
138<br />
2133<br />
2131<br />
2130<br />
140<br />
182<br />
140<br />
127<br />
1126<br />
160<br />
2525<br />
T4<br />
TSH (Dog, Cat)<br />
fT4<br />
Dialysis fT4*<br />
fT4 + Cholesterol (Dog,<br />
T4 + TSH (Dog, Cat)<br />
fT4 + TSH (Dog,Cat)<br />
fT4 + TSH +<br />
Thyroglobulin-Ab (Dog)<br />
TRH-Test (2x T4)<br />
TRH-Test (3x fT4)<br />
T3-Suppression Test<br />
(Cat) (2x T4)<br />
T3<br />
fT3<br />
2086<br />
Large Thyroid Profile S/1,5ml<br />
(T4, fT4, T3, fT3, TSH, Thyroglobulin-Ab, T4-Ab, T3-Ab)<br />
2279<br />
(T4, fT4, T3, fT3, TSH)<br />
Pregnancy Diagnostics<br />
123<br />
124<br />
122<br />
Progesterone<br />
(Cow, Horse)<br />
(18./19. day after conception)<br />
(From day 45 to 100)<br />
(110. day to 1 week prior to birth)<br />
Sex Hormones<br />
134<br />
125<br />
135<br />
1123<br />
136<br />
1360<br />
2270<br />
2212<br />
Oestradiol (Dog, Cat)<br />
Luteinizing Hormone<br />
(LH) (Dog, Cat)<br />
Anti-Müllerian Hormone<br />
(AMH)<br />
2510<br />
Inhibine (Horse)*<br />
Drugs<br />
2092<br />
2093<br />
617<br />
619<br />
608<br />
2085<br />
S/0,5ml<br />
Oestradiol (Horse, Ferret) S/0,5ml<br />
Progesterone<br />
17 OH-Progesteron<br />
Testosterone<br />
(Dog, Cat, Horse)<br />
HCG Stimulation Test<br />
(2 x testosterone)<br />
S/0,5ml<br />
PMSG (MIP Test) (Horse) S/0,5ml<br />
Oestronsulfat (Horse)<br />
S/0,5ml<br />
S/0,5ml<br />
S/0,5ml<br />
S/1ml<br />
S/1ml<br />
S/1ml<br />
S/1ml<br />
S/2x0,5ml<br />
S/3x0,5ml<br />
S/2x0,5ml<br />
S/0,5ml<br />
S/0,5ml<br />
Thyroglobulin-Ab (Dog) S/0,5ml<br />
Thyroxine-Ab* (Dog)<br />
Thyroid Profile (Cat)<br />
Doping relevant<br />
substances Profile*<br />
Antiinflammatory<br />
substances Profile*<br />
Phenobarbital<br />
Kaliumbromid*<br />
Digoxin<br />
Cyclosporine<br />
More Tests upon request!<br />
S/0,5ml<br />
S/0,5ml<br />
S/1,5ml<br />
HP,S/1ml<br />
S/0,5ml<br />
S/0,5ml<br />
S/0,5ml<br />
S/2x0,5ml<br />
S/0,5ml !<br />
S/0,5ml<br />
S/3ml<br />
S,H/20ml<br />
S,H/20ml<br />
S/1ml<br />
EP,HP,S/1ml<br />
S/1ml<br />
EB/1ml
Serology<br />
1572<br />
8216<br />
567<br />
600<br />
571<br />
576<br />
2070<br />
2576<br />
566<br />
176<br />
833<br />
5010<br />
2069<br />
578<br />
144<br />
565<br />
164<br />
610<br />
572<br />
572<br />
APP-Ab (pig)<br />
S/0,5ml<br />
Aspergillus-Ab<br />
S/0,5ml<br />
Babesia canis-Ab EP,HP,S/0,5ml<br />
(Dog, Horse, Cat) (IFAT)<br />
Babesia-Ab (Horse) (ELISA) S/1ml<br />
Anaplasma<br />
EP,HP,S/0,5ml<br />
phagozytophilum-Ab<br />
Avian Pacheco-Ab<br />
S/0,2ml<br />
Babesia-Ag<br />
BS,EB<br />
Babesia gibsoni-Ab (IFAT) S/0,5ml<br />
(Th.equi / B.caballi)<br />
Bartonella<br />
henselae-Ab<br />
EP,HP,S/0,5ml<br />
Borrelia-Ab (IgG+IgM)<br />
Brucella canis-Ab (SAT) S/1ml<br />
EP,HP,S/0,5ml<br />
Borrelia (blot)<br />
S/0,5ml<br />
Borna v.-Ab*<br />
S/0,5ml<br />
Canine Parvo v.-Ab EP,HP,S/0,5ml<br />
Canine<br />
Distemper v.-Ab<br />
EP,HP,S/0,5ml<br />
Chlamydophila-Ab EP,HP,S/0,2ml<br />
Chlamydophila-Ag<br />
TA<br />
Dirofilaria-Ag<br />
EP,HP,S/0,5ml<br />
Ehrlichia canis-Ab EP,HP,S/0,5ml<br />
Ehrlichia equi-Ab EP,HP,S/0,5ml<br />
(A. phagozytophilum)<br />
2020<br />
146<br />
5000<br />
130<br />
131<br />
2134<br />
131<br />
1147<br />
148<br />
6000<br />
130<br />
147<br />
133<br />
145<br />
554<br />
146<br />
2533<br />
2012<br />
198<br />
157<br />
564<br />
2017<br />
569<br />
2079<br />
2080<br />
120<br />
568<br />
555<br />
132<br />
E. cuniculi-Ab (IFAT)<br />
EHV 1+4-Ab<br />
Equine Influenza v.-Ab*<br />
Equine<br />
Infectious anamia-Ab<br />
(Coggins Test)<br />
Equine virus<br />
S/0,5ml<br />
S/0,5ml<br />
S/0,5ml<br />
Leishmania-Ab (IFAT)<br />
Leptospira-Ab<br />
EP,HP,S/0,5ml<br />
Listeria-Ab<br />
EP,HP,S/1ml<br />
Microfilaria-Ag<br />
(knott-test) (Dog, Cat)<br />
EB/0,5ml<br />
EP,HP,S/0,5ml<br />
Feline Calicivirus-Ab<br />
Feline Parvo v.-Ab EP,HP,S/0,5ml<br />
FeLV, „FIP”, FIV EP,HP,S/0,4ml<br />
FeLV-Ag<br />
EP,HP,S/0,5ml<br />
FHV/FCV-Ab<br />
EP,HP,S/0,2ml<br />
FIV-Ab<br />
EP,HP,S/0,2ml<br />
HCC-Ab (Dog)<br />
EP,HP,S/0,5ml<br />
Helicobacter-Ab EP,HP,S/0,5ml<br />
Herpes v.-Ab (Dog, EP,HP,S/0,5ml<br />
Inclusion Body Disease BS<br />
Leishmania-Ab (ELISA) S/0,5ml<br />
EP,HP,S/0,2ml<br />
Arteriitis (EVA)-Ab*<br />
Fasciola-Ab<br />
S/0,5ml<br />
FCoV "FIP"-Ab<br />
AS,HP,S/0,2ml<br />
Neospora<br />
caninum-Ab<br />
EP,HP,S/0,5ml<br />
Rickettsia conorii-Ab<br />
Rickettsia<br />
rickettsii-Ab<br />
Rabies-Ab<br />
EP,HP,S/0,5ml<br />
(Use special submission form)<br />
Salmonella-Ab<br />
S/0,5ml<br />
Sarcoptes-Ab (Dog) S/0,5ml<br />
TBE-Ab<br />
EP,HP,LQ,S/0,5ml<br />
Toxoplasma-Ab EP,HP,S/0,5ml<br />
EP,HP,S/0,5ml<br />
(IgG + IgM)<br />
2072<br />
1201<br />
2091<br />
Trypanosoma-Ab<br />
Yersinia-Ab<br />
West Nile virus-Ab<br />
(Horse + Avian)<br />
S/0,5ml<br />
S/0,5ml<br />
EP,HP,S/0,5ml<br />
S/0,5ml<br />
S/0,5ml<br />
Other:<br />
___________________________________<br />
Toxicology<br />
2011<br />
105<br />
106<br />
Poisonous Screening*<br />
(Cumarin derivates)<br />
Lead<br />
Thallium (Rodenticides)*<br />
EB,V<br />
EB/1ml<br />
HA/H<br />
D000000000002D<br />
000000000002<br />
PCR-Tests<br />
8095<br />
11,20<br />
Bordetella bronchiseptica A<br />
Cryptosporidia (incl. diff) FA<br />
Equine Arthritisv. (EVA) A, EB<br />
Feline Leucemia v. (FeLV)<br />
Microfilaria spp.<br />
EB<br />
Rhodococcus equi<br />
A<br />
Salmonella spp.<br />
FA<br />
Taylorella equigenitalis<br />
A<br />
Freemartinism*<br />
EB/1ml<br />
More Cattle/Pig PCR-tests upon request<br />
EB,KM<br />
Ehrlichia canis<br />
EB,KM,Z<br />
Encephalitozoon cuniculi H,N,LQ<br />
Borrelia spp.<br />
HT,LQ,SV,Z<br />
Chlamydophila spp. A,GW,FA<br />
Circovirus: Pigeon EB,FA,L,M,F<br />
Feline Corona v. (FCoV)<br />
Psittacine Herpes v.<br />
FA,F<br />
(Pacheco's disease)<br />
AS,EB,FA<br />
Canine Parvo v. (CPV) EB,FA<br />
Feline Calici v. (FCV)<br />
A,EB<br />
Feline Parvo v. (FPV) EB,FA<br />
Streptococcus equi equi A,LN<br />
Tick-borne encephalitis v. LQ,S,Z<br />
Canine Distemper (CDV)<br />
Canine Herpes v. (CHV) A,AM,EB<br />
Canine Mycoplasma<br />
A,EB<br />
Canine Parainfluenza (CPiV) A<br />
Leptospira spp.<br />
H,N<br />
MRSA<br />
A,NSP<br />
Mycopl. haemocanis/-felis EB<br />
A,EB,LQ,H<br />
Anapl. phagozytophilum<br />
Anaplasma platys<br />
EB,Z<br />
Babesia spp.<br />
EB,Z<br />
Bartonella henselae<br />
EB,Z<br />
EB,KM,Z<br />
Avian Mycoplasma A,FA,GW<br />
Avian Polyoma v. (APV) EB,F<br />
Avian Sex Determination EB,F<br />
Canine Adeno v. (CAV)<br />
Canine Corona v. (CCV) FA<br />
A,EB,GW,H<br />
Equine Herpes v. 1/4 A,AM,LQ,EB<br />
Equine Herpes v. (EHV) 2/5 A<br />
Feline Herpes v. (FHV) A,EB<br />
Feline Immunodeficiency EB<br />
virus (FIV) quantitative*<br />
Mycoplasma agassizii A,NSP<br />
Mycoplasma felis<br />
A,EB<br />
Mycoplasma pulmonis: Rat<br />
Neospora caninum FA,GW,LQ<br />
Paramyxovirus: Snake A,GW<br />
Pox (Avipox-virus)<br />
GW,K<br />
Pox (Orthopox-virus)<br />
K<br />
Psittac. Circo v. (PBFD) EB,F<br />
A,GW<br />
Adenovirus: Snake, Lizard<br />
Leishmania infantum HT,Ln,KM<br />
A,GW<br />
8182<br />
8236<br />
8173<br />
602<br />
6000<br />
8019<br />
8076<br />
8162<br />
8010<br />
8095<br />
8025<br />
8003<br />
8009<br />
8097<br />
8096<br />
8024<br />
8004<br />
8092<br />
8416<br />
8181<br />
8091<br />
8230<br />
8009<br />
8209<br />
8011<br />
8001<br />
8009<br />
8078<br />
8003<br />
8024<br />
8089<br />
Hepatozoon canis/felis EB,Z,L<br />
8050<br />
Herpesvirus: Koi<br />
GW<br />
8009<br />
Herpesvirus: Tortoise<br />
A<br />
8223<br />
Influenza A Virus<br />
A<br />
8059<br />
Lawsonia intracellularis FA,GW<br />
8008<br />
8031<br />
8101<br />
2013<br />
8088<br />
8082<br />
570<br />
8189<br />
8029<br />
8122<br />
8177<br />
8055<br />
601<br />
8093<br />
8102<br />
8060<br />
8171<br />
8229<br />
8021<br />
8103<br />
Toxoplasma gondii AM,FA,LQ<br />
8999<br />
Tritrichomonas foetus<br />
FA<br />
8023<br />
PCR-Profiles<br />
6001<br />
Avian Profile I<br />
EB,F<br />
604<br />
(PBFD, Sex determination)<br />
Avian Profile II<br />
(PBFD, APV)<br />
EB,F<br />
603<br />
Avian Profile III<br />
(PBFD, APV, Sex determination)<br />
EB,F<br />
6010<br />
Avian Profile IV<br />
EB,F<br />
(PBFD, Pacheco, APV, Sex determination)<br />
8074<br />
Canine Aneamia Profile<br />
(Babesia spp., Ehrlichia canis,<br />
EB<br />
A. phagozytophilum, Mycoplasma haemocanis)<br />
8168<br />
Canine Diarrhoea Profile FA<br />
(CCV, CPV, Rotavirus, Giardia spp., Cryptosporidia)<br />
8203<br />
Canine Neurology Profile LQ<br />
(Protein, IgA, CRP, TBE-Ab, PCR-Tests: Distemper virus,<br />
Neospora caninum, Toxoplasma gondii, Anaplasma phag.)<br />
8165<br />
Canine Reprod. Profile A,AM<br />
(CHV, Chlamydophila spp., Canine Mycoplasma)<br />
8163<br />
Canine Respirat. Profile-large A<br />
(CHV, CDV, CAV, Bordetella bronchiseptica, CPiV, Mycopl.)<br />
8164 )<br />
Canine Respirat. Profile-small A<br />
(CAV, Bordetella bronchiseptica, CPiV)<br />
PCR-Profiles<br />
8027<br />
Human-Pathogen<br />
Diarrhoea Profile<br />
(Salmonella, Yersinia, Campylobacter)<br />
Equine Respirat. Profile<br />
A<br />
A<br />
8224<br />
(EHV1, EHV4, Influenzavirus)<br />
8225<br />
Equine<br />
Respiratory Profile-Foal<br />
(EHV1, EHV4, Influenzavirus, Rhodococcus equi)<br />
8415<br />
A,AM<br />
Equine<br />
Abortion Profile<br />
(EHV1, EHV4, EVA, Leptospira)<br />
8168<br />
Feline Diarrhoea Profile FA<br />
Feline<br />
Respirat. Profile-Large<br />
(FHV, FCV, Chlamydophila spp., Mycoplasma felis,<br />
Bordetella bronchiseptica)<br />
Feline Respiratory Profile A<br />
(FHV, FCV, Chlamydophila spp., Mycoplasma felis)<br />
8012<br />
A<br />
Feline<br />
Respirat. Profile-Small<br />
Single Determinations<br />
Enzymes<br />
2<br />
α-HBDH<br />
3<br />
α-Amylase<br />
4<br />
ALT (GPT)<br />
5<br />
AP<br />
1605<br />
AP (heatstable)<br />
6<br />
AST (GOT)<br />
FA<br />
(FCoV, Tritrichomonas foetus, Giardia spp., FPV,<br />
Cryptosporidia)<br />
8167<br />
Feline Eye Profile<br />
(FCV, FHV, Chlamydophila spp.)<br />
A<br />
8165<br />
A,AM<br />
8087<br />
Feline<br />
Reproduction Profile<br />
Feline Neurology Profile<br />
(Corona virus, Toxopl. gondii, Bartonella henselae)<br />
A<br />
LQ<br />
(FHV, Chlamydophila spp., Mycoplasma felis)<br />
8414<br />
8169<br />
(FHV, FCV)<br />
8064<br />
Tick Profile I<br />
Z<br />
(Borrelia spp., TBE-virus)<br />
8065<br />
Tick Profile II<br />
Z<br />
(Borrelia spp., Babesia spp., A. phagozytophilum,<br />
E. canis)<br />
8090<br />
7<br />
8<br />
Tortoise Profile<br />
A<br />
(Herpes virus, Mycoplasma agassizii)<br />
EP,HP,S/0,5ml<br />
EP,HP,S/0,5ml<br />
EP,HP,S/0,5ml<br />
S/0,5ml<br />
S/0,5ml<br />
EP,HP,S/0,5ml<br />
Cholinesterase EP,HP,S/0,5ml<br />
9<br />
10<br />
11<br />
12<br />
CK<br />
γ-GT<br />
GLDH<br />
LDH<br />
Lipase<br />
EP,HP,S/0,5ml<br />
EP,HP,S/0,5ml<br />
EP,HP,S/0,5ml<br />
EP,HP,S/0,5ml<br />
S/0,5ml<br />
Substrates<br />
63<br />
Albumin<br />
15<br />
Bilirubin direct<br />
16<br />
Bilirubin total<br />
107<br />
ß-HBS<br />
17<br />
Cholesterol<br />
19<br />
Protein<br />
3011<br />
Fructosamine<br />
128<br />
Bile acid<br />
20<br />
Glucose<br />
200<br />
Uric acid<br />
21<br />
Urea<br />
23<br />
Creatinine<br />
24<br />
Lactate<br />
56<br />
NEFA<br />
EP,HP,S/0,5ml<br />
EP,HP,S/0,5ml<br />
EP,HP,S/0,5ml<br />
S/0,5ml<br />
EP,HP,S/0,5ml<br />
EP,HP,S/0,5ml<br />
S/1ml<br />
S/0,5ml<br />
NaFB/2ml<br />
EP,HP,S/0,5ml<br />
EP,HP,S/0,5ml<br />
EP,HP,S/0,5ml<br />
NaFB/0,5ml<br />
S/0,5ml<br />
25<br />
(Free Fatty Acids)<br />
Triglycerides EP,HP,S/0,5ml<br />
Minerals and Electrolytes<br />
26<br />
Calcium<br />
S/0,5ml<br />
1521<br />
Calcium ionized S/0,5ml<br />
(exclusion of air)<br />
27<br />
Chloride<br />
28<br />
Iron<br />
29<br />
Potassium (K)<br />
30<br />
Copper<br />
31<br />
Magnesium<br />
4008<br />
Manganese<br />
32<br />
Sodium (Na)<br />
33<br />
Phosphate,<br />
S/0,5ml<br />
S/0,5ml<br />
S/0,5ml<br />
S/0,5ml<br />
S/0,5ml<br />
S/0,5ml<br />
S/0,5ml<br />
S/0,5ml<br />
anorganic<br />
4004<br />
Selenium<br />
34<br />
Zinc<br />
S/0,5ml<br />
S/0,5ml
Maldigestion and Diarrhoea<br />
Microbiology<br />
(3/4 filled stool sample container)<br />
If necessary:<br />
Germ differentiation<br />
Serological each<br />
Antibiogram each<br />
1167<br />
167<br />
1662<br />
Small Fecal Profile<br />
(Small Animal, Horse)<br />
(Bacteriology and mycology, Obligate and Faculative<br />
pathogenic germs, Anaerobes and pH incl. differentiation)<br />
Youngster Diarrhoea Profile<br />
(Dog, Cat)<br />
(Bacteriology, Mycology, Parvovirus, Endoparasites)<br />
1662<br />
218<br />
Foal Diarrhoea Profile<br />
Bovine Fecal Profile<br />
(Rota-, Corona virus, Bacteriology exam., Cryptosporidia)<br />
1062<br />
1661<br />
1170<br />
166<br />
Rota v., Corona v.,<br />
K99,Cryptosporidia (Bovine)<br />
Reptile Fecal Profile (incl.<br />
differentiation)<br />
(Obligate and faculative pathogenic germs, Additional<br />
incubation modes)<br />
Rodent Fecal Profile<br />
(incl. diff.)<br />
(Obligate and Faculative pathogenic germs)<br />
Avian Fecal Profile<br />
(incl. diff.)<br />
(Cloacal Swab for Bacteriology and Mycology)<br />
1175<br />
Pigeons – Salmonella +<br />
Endoparasites<br />
Single Determinations<br />
189<br />
Clostridium difficile<br />
188<br />
168<br />
162<br />
175<br />
8027<br />
500<br />
2176<br />
Large Fecal Profile<br />
(Small Animal, Horse)<br />
(Bakteriology and Mycology, Facultative pathogenic<br />
bacteria, Salmonella, Clostridium perfringens enterotoxin<br />
and Clostridium difficile Toxin A and B, incl. pH and<br />
differentiation + Endoparasites)<br />
(Bacteriology and Mycology, Obligate and Faculative<br />
pathogenic germs, Anaerobes and pH incl. differentiation,<br />
Endoparasites incl. Protozoa, Rota virus, Clostridium<br />
perfringens enterotoxin)<br />
(Toxin A and B)<br />
Clostridium perfringens<br />
enterotoxin<br />
Yersinia (incl. differentiation)<br />
Campylobacter (incl.<br />
differentiation)<br />
Salmonella and Shigella (incl.<br />
differentiation)<br />
Human pathogenic germs<br />
(Salmonella, Yersinia, Campylobacter)<br />
Helicobacter pylori-Ag (EIA)<br />
Macrorhabdus ornithogaster<br />
(Microscopical)<br />
2177<br />
Mycobacteria<br />
(Microscopical)<br />
Virology<br />
Virological Examination<br />
(EIA,PCR)<br />
(Parvo-, Rota-, Corona virus)<br />
Parvo virus (EIA) (Dog, Cat)<br />
Rota virus (EIA)<br />
(Horse, Cattle)<br />
Coronavirus (PCR)<br />
Endoparasitology<br />
Endoparasites<br />
(Flotation and MIFC for detection of worm eggs and<br />
Protozoa)<br />
Endoparasites (Reptiles)<br />
(Flotation and MIFC, Ziehl-Neelsen staining, native<br />
smear)<br />
Cryptosporidia-Ag<br />
(IFAT)-(Reptiles)<br />
Baermann Test<br />
(In additon to the normal endoparasite examination)<br />
(lungworm larvae)<br />
Mc Master<br />
Specific Parasites/Protozoa<br />
Cryptosporidia-Ag<br />
(ELISA)-Mammals<br />
Giardia spp.-Ag (ELISA)<br />
Giardia Differentiation<br />
Maldigestion / Malabsorption<br />
3012<br />
Pancreas Elastase (Dog)<br />
2008<br />
Phenole, Indican,<br />
MH<br />
Nitrosonaphthole<br />
(Differential diagnosis for detection of bacteriological<br />
overgrowth in the small intestine)<br />
Microscopical Nutritive<br />
Digestion<br />
Total Fatty Acids<br />
Bile acid (Diarrhoea)<br />
Sand content (Horse)<br />
Particle size (Horse)<br />
Inflammatory/Exsudative Processes<br />
Lactic acid<br />
Albumine and Globulins<br />
Chemical detection of blood<br />
α-1-antitrypsin<br />
Autovaccine/Stock vaccines<br />
Rp. Autovaccine for chron.<br />
Diarrhoea<br />
(In addition to the bacteriological examination - oral<br />
vaccine)<br />
Rp. Combination of<br />
Autovaccines<br />
(In addition to the bacteriological examination<br />
2 injections + oral vaccination)<br />
Case report for fecal examination in case of indigestion and diarrhoea<br />
For interpretation of faeces examination, please give us additional informations:<br />
154<br />
172<br />
172<br />
8025<br />
149<br />
1149<br />
2082<br />
585<br />
2632<br />
187<br />
185<br />
8237<br />
153<br />
65<br />
61<br />
1408<br />
1400<br />
7001<br />
7002<br />
444<br />
1235<br />
155<br />
1550<br />
Bacteriology<br />
Incl. differentiation<br />
Antibiogram each<br />
Location of sampling: _____________________________<br />
Swabs/Aspirate/Milk<br />
Bacteriology & Mycology<br />
Bacteriology<br />
Mycology<br />
Milk Examination<br />
Skin / Hairs<br />
Bacteriology & Mycology<br />
Bacteriology<br />
Mycology<br />
(Dermatophytes and yeasts)<br />
2175<br />
Dermatophilus congolensis<br />
Trichogram<br />
Ectoparasites<br />
Special Requests<br />
Examination of Anaerobes<br />
Blood Culture<br />
(Aerobe and anaerobe)<br />
Reproductive Fitness (mare)<br />
(Pro swab)<br />
Reproductive Fitness and<br />
mycology (mare)<br />
(Pro swab) (incl. differentiation)<br />
CEM (Horse)<br />
(Pro swab) (incl. differentiation)<br />
Reproductive Fitness + CEM<br />
(Pro swab) (incl. differentiation)<br />
Chlamydophila<br />
Paenibacillus larvae<br />
(Honey in plastic bag)<br />
MRSA Differentiation<br />
(Additional to the bact. exam)<br />
ESBL Differentiation<br />
(Additional to the bact. exam)<br />
I do not require an<br />
antibiogram<br />
Rp. Autovaccine (general)<br />
(In addition to the bactiological examination – vaccine for<br />
injection)<br />
This order is valid as a veterinarian prescription. Delivery time: 4-5 _____________________________________________<br />
weeks. Date:<br />
Signature veterinarian: ___________________________<br />
Diarrhoea: yes with blood<br />
containing mucus<br />
independent/dependent to food intake<br />
after drinking from puddles<br />
Obstipation: yes varying<br />
no Weight loss: yes no<br />
yes<br />
Meteorism: yes no Hair: brilliant and well pigmented dusty and dry Skin: trend to form eczema or dermatitis<br />
Vomitus: fasting after food intake several hours after food intake<br />
independent of food intake<br />
4/4<br />
+151<br />
Flatulence: no<br />
Clinical relevant notes/previous therapies: ______________________________________________________________________________________<br />
6b<br />
14<br />
56<br />
Supply Order: Container for Swabs<br />
Histology Containers Submission forms - <strong>General</strong><br />
1<br />
3<br />
10<br />
57<br />
Serum Tubes<br />
EDTA-Tubes<br />
Envelopes large<br />
with formalin<br />
Submission forms - Allergy<br />
2<br />
7<br />
11<br />
5<br />
58<br />
Cltrate Tubes<br />
Urine Containers<br />
Container for Tubes<br />
Fecal Containers Submission forms - Pathology<br />
3a<br />
6<br />
12<br />
15<br />
64<br />
Heparin Tubes<br />
Swabs with transp.medium Cover for slides<br />
Medium for<br />
Submission forms - Genetics<br />
4<br />
6a<br />
13<br />
16<br />
NaFI-tubes<br />
Swabs without transp.med. Medium for<br />
Mykoplasma<br />
Submission forms - Equine<br />
80<br />
40<br />
Chlamydophila-Ag<br />
Barcodes<br />
Submission forms - Hygiene<br />
<strong>General</strong> Business Conditions:<br />
D000000000003D<br />
All statements according to our condition / All terms and prices are subject to changes<br />
000000000003<br />
156<br />
150<br />
2151<br />
160<br />
150<br />
150<br />
151<br />
2109<br />
174<br />
165<br />
110<br />
184<br />
194<br />
158<br />
159<br />
164<br />
171<br />
2217<br />
2218<br />
2202<br />
155<br />
011.023 12/04