Chemical Pathology

The department evolved from the department of pathology of the General Hospital, Adeeyo in 1961. It graduated from the cumbersome manual techniques and acquired automation capability for general chemistry in 1974. A metabolism research ward was established in 1969. In 2005, its immunoassay service became fully automated. The department is one of the laboratory medicine departments in the hospital which provide non-imaging diagnostic services. This is done through biochemical analysis of blood, urine and other tissue fluids. Physicians in the department also provide direct patient care for metabolism-related diseases.
CORE RESPONSIBILITY OF DEPARTMENT
The department undertakes the following responsibility on behalf of the  hospital

  • Biochemical analysis of various tissue fluids to assist in the screening, diagnosis, monitoring and prognostication for disease.
  • Outpatient services for metabolism-related disease like diabetes mellitus
  • Dynamic studies in the evaluation of disorders
  • Postgraduate training of doctors in Laboratory Medicine, especially chemical pathology.

CORE ACTIVITIES OF DEPARTMENT
The department provides both clinical and laboratory services
Clinical services provided include:

  • A constantly evolving outpatient services for a variety of metabolic disorders. These include obesity, diabetes mellitus, thyroid disorders, lipidology, nutrition, metabolic bone disease, and kidney stones.
  • Dynamic testing procedures to define the presence of endocrine disorders. These include oral glucose tolerance tests, insulin tolerance testing, water deprivation testing, and dexamethasone suppression tests, amidst others.
  • Inpatient consultative services on request.

All clinical services are normally provided within the premises of the Metabolic Research Unit. However, medical consultants do provide in-patient consultations. Outpatient services for diabetes mellitus and obesity are conducted 9 – 12 pm every Thursday, except for public holidays. Request for dynamic testing outside the unit should be directed at a specific consultant in the department.
Laboratory services include:

  • General chemistry analysis for assessment of renal and liver function, and metabolic disorders like diabetes and dyslipidemias etc.
  • Hormonal assays for reproductive and  thyroid function assessment
  • Phlebotomy service

The Laboratory receives samples round the clock. Its services are however delivered as below
Routine analysis:
All samples received before 1.00pm on a weekday will normally be treated as routine.
Results for such estimations shall normally be available by the close of work for that day except for hormonal assays
Emergency analysis:
This refers to test requests that will alter the immediate management of the patient. Currently the department provides the following requests on call basis: Plasma glucose, Plasma Na, K, Cl, HCO3, Urea, Bilirubin, Pregnancy testing and Urinalysis. Other testing may be available on special request.
Samples requiring emergency analysis must be brought to the attention of call personnel especially when request is made between 8am and 4 pm on a weekday. Samples brought at other time shall normally be treated as emergency samples. Results of emergency analysis will be available within a maximum of 3 hours of receipt.
Phlebotomy services
This refers to blood collecting service which is provided centrally in the out  patient unit of the hospital