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Bilirubin, T & D  (BILI T D/I)

Synonyms:  Total & Direct Bilirubin with Indirect Bilirubin calcuation, Total and Conjugated Bilirubin with inconjugated Bilirubin calculation, T & D Bili
Specimen:  Blood; (1) SST (serum separator), Red (no preservative), Green (lithium heparin), or Purple (EDTA) top vacutainer tube. Protect from light.
                        Volume:  Full primary tube
Minimum Volume:  200 microL serum/plasma
Collection:  If tube other than an SST is collected, transfer serum or plasma to a tightly capped plastic aliquot tube within 2 hours of collection for transport. Refrigerate at 2-8°C for 7 days. Protect from light.
Storage:  7 days at 2-8 degrees C. Protect from light.
Rejection Criteria:  Gross hemolysis; improper labeling.
Reference Range:  See report
Methodology: 
Test Use:  Hepatocellular damage - caused from hepatitis or cholestasis, hemolytic diseases, extrahepatic obstructions such as stones or carcinoma, intrahepatic obstructions caused from some drugs, granulomas, cirrhosis or tumors can all cause an increase in bilirub
Additional Information:  Bilirubin is extremely photosensitive. Care should be taken to protect sample from both daylight and fluorescent light to avoid photodegradation.
Testing Includes:  Total Bilirubin Direct (conjugated) Bilirubin Indirect Bilirubin calculation
Testing Facility:  AnMed Health Laboratory