So, this blog has been somewhat slacking in posts lately, and for that there are two reasons. The first, is that recently Janie’s computer had to be repaired in the states, and so she won’t be able to get it until we visit in the beginning of November. Therefore, we are sharing one computer, which means she is using it 90% of the time to do her photography.
The second reason, which has given me something to blog about is that I was sick for the past week or so. Actually, getting sick at least once while in Peru was inevitable, so I wasn’t all that surprised when it came. I had some fevers and chills for a few days, along with some abdominal pain and loose bowels. Overall, I didn’t feel great, but didn’t quite feel the need to go to the doctor or a clinic. That was, until I found out that another American housemate who had also been sick recently, tested positive for amoebiasis (a nasty parasite!). At that point, I decided I should at least get a stool test to check for parasites. As such, I thought I would also take the opportunity to tell a little about what laboratory tests are typically available here in Cusco, Peru.
A couple things to note….the most common lab tests ordered are usually stool samples for parasitology, and urinalysis for urinary tract infections. Interestingly, thyroid stimulating hormone (TSH), which is a very common test ordered in outpatient clinics in the U.S., is not available in all of Cusco–in fact, the only way to order one is to send the sample to Lima, the capital. Thus, TSH is rarely ordered.
An example of a typical lab slip at the Belen Clinic....you need to check-off the labs that you want to order.
Hematologia – Hematologic Tests:
Hemograma Completo – Complete Blood Count (CBC)
Hematocrito – Hematocrit
Hemoglobina – Hemoglobin
Velocidad de Sedimentación – Erythrocyte Sedimentation Rate (ESR)
Recuento de Plaquetas – Platelet Count
Tiempo de Coagulación – Clotting Time
Tiempo Sangrio – Bleeding Time
Tiempo de Protombina – Prothrombin Time (PT)
Bioquimica – Biochemical Tests:
Glucosa – Glucose
Urea – Urea
Creatinina – Creatinine
Bilrrubinas T vD – Bilirubin (not sure if indirect or direct?)
Trasamibasas GPT – Alanine Transaminase (ALT)
Trasamibasas GOT – Aspartate Transaminase (AST)
Colesterol – Cholesterol (Only total cholesterol is standard, HDL and LDL have to be specified in the order)
Forfatasa Alcalina – Alkaline Phosphatase
Trigliceridos – Triglycerides
Urine Tests:
Uroanalisis – Urinalysis
Examen Completo de Orina – Complete Urinalysis
Prueba de Embarazo – Pregnancy Test (both blood and urine sampling is available)
Pigmentos Biliares – Biliary Pigment in Urine
Inmunologia – Immunological Tests:
Hepatitis B – Hepatitis B
Relaciones Serologicas VDRL – VDRL (Syphilis Test)
Aglutinaciones – Agglutination (Tests for different types of Typhoid)
Proteina C Reactiva Latex – C Reactive Protein (CRP)
Grupo Sanguineo v RH – Blood Type/RH Type
Microbiologia – Microbiology Tests:
Exámen Directo de Trichomonas – Microscopic Exam for Trichomonas
Exámen Directo de Hongos KOH – KOH Microscopic Exam for Fungi
Exámen Directo de Secreciones – Microscopic Exam of Bodily Secretions
Coloración de GRAM – Gram Stain for Microbial Identification
Parasitologia – Parasitology:
Parasitologia Simple – Direct Microscopic Exam for Evidence of Parasites
Parasitologia Seriado M. Directo – Serial Microscopic Exam for Evidence of Parasites (3 days)
Parasitologia M. Faust – Faust Method of Identifying Parasites (Uses technique that causes the eggs to “float” for better identification)
Parasitologia por M. Sedimentación – Another Method, Uses Sedimentation to Identify Parasites.
Oxiuros Test GRAHAM – “Scotch Tape” Test for Identification of Pinworms (Enterobius)
Investigación de Fasciola – Tests for “Liver Flukes”
View of the laboratory located in the basement of the Belen Clinic.
"Samples" all lined up being prepared for different types of analysis.
Example of a parasitology poster in the lab to help with identification of common parasites.
Example of staining used before counting the number of blood cells under the microscope.
Example of typical lab results (which actually is mine). This example shows that I did not have any evidence of parasites, but I did have some inflammatory changes, most likely a gastrointestinal bacterial infection. Lucky for me I dodged amoebiasis!
Syphilis is easy to cure in its early stages. Signs and symptoms of syphilis include a firm, round, small, and painless sore on the genitals, anus, or mouth, or a rash on the body, especially on the palms of the hands or the soles of the feet.`,.`
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Hello,
Thank you for this info. Do you know if they do stool testing for digestive problems in cusco? Thanks!
And how much was the parasite test? thank you.. sophie