Abstract

Background: Laboratory tests and analyzes are an integral part of the overall diagnostic procedures for almost all human pathological conditions and diseases. Certain laboratory tests are a mandatory indicator of health status when hiring for certain jobs, or to perform certain activities. Doctors of medicine of almost all specialties prescribe certain laboratory tests for their patients every day. There is no “basic list” of laboratory tests (“basic biochemistry”) and there is no “extended list” of laboratory tests (“extended biochemistry”). There are only targeted laboratory tests that the doctor prescribes for each patient, especially based on patient’s anamnestic data, physical examination and previous laboratory analyzes. They can also represent forensic findings and evidence. Objective: The aim of this case study is to descibe several cases which present importance of use appropriate bichemical tests for making decisions in diagnostics and treatment of patients with specific medical requests. Methods: Author used descriptive model for analizing and interpretaion of several cases in the praxis as specific method of interpretation results of biochemical tests for doctor’s decision making. Results and Discussion: For a long time, laboratory measurements in hematology were based on manual techniques, then on semi-automatic and automatic counters, so that the revolution and rapid development in automation, and new parameters in determining CS were brought by microprocessors and computers. As such, they have enabled the current hematology counters to grow into hematology analyzers that automatically manage and control the work process during CS analysis, correct analytical errors during measurements, and mathematically and statistically process the measured parameters. Computers and information technologies significantly improve the work in various laboratories (hematological, cytological, immunological, clinical-biochemical), because they automate tests and speed up the delivery of findings. With the help of computers, the whole process of laboratory tests can be integrated and automated, connecting instrumentation, resources and staff into a wide, unique network in order to increase productivity in laboratory work and achieve maximum accuracy and precision of measurement, without expanding resources, i.e., increasing laboratory costs. Conclusion: In a faster, simpler, easier, safer, more accurate, cheaper way than before, a relevant blood count is obtained. Automatically analyzed CS provides new hematological parameters that, if interpreted correctly, can quickly and cost-effectively lead us to a correct diagnosis and timely therapy.

Key words: Hematology, Information technologies