Fever Package Extensive (includes Dengue, Malaria, Typhoid & Chikungunya tests) in New Delhi
Understanding Fever Package Extensive (includes Dengue, Malaria, Typhoid & Chikungunya tests) in New Delhi
What is Fever Package Extensive (includes Dengue, Malaria, Typhoid & Chikungunya tests) in New Delhi?
Fever Package Extensive (includes Dengue, Malaria, Typhoid & Chikungunya tests) is tailored to screen the common cause of fever at an affordable price in New Delhi with Tata 1mg labs. This package helps to identify the cause of your fever so that appropriate treatment can be given timely. It offers a wide range of tests for dengue, malaria, typhoid, and chikungunya among others. You may need this test if you have a high fever and weakness; chronic low-grade fever; signs or symptoms of typhoid, dengue, or malaria fever; or if the fever is of unknown origin.
What does Fever Package Extensive (includes Dengue, Malaria, Typhoid & Chikungunya tests) measure?Contains 42 tests
ESR (Erythrocyte Sedimentation Rate)
An ESR test measures the rate at which red blood cells (erythrocytes) settle (sediment) in one hour at the bottom of a tube that contains a blood sample.
When there is inflammation in the body, certain proteins, mainly fibrinogen, increase in the blood. This increased amount of fibrinogen causes the red blood cells to form a stack (rouleaux formation) that settles quickly due to its high density, leading to an increase in the ESR.
An ESR test is a non-specific measure of inflammation and can be affected by conditions other than inflammation. This test cannot identify the exact location of the inflammation in your body or what is causing it. Hence, an ESR test is usually performed along with a few other tests to identify or treat possible health concerns.
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Dengue Fever NS1 Antigen
A Dengue Fever NS1 Antigen test measures the NS-1 protein of the dengue virus. This protein is secreted into the blood during the infection; hence, it can only be detected during the early stages of the illness. It is recommended to do the Dengue Fever NS1 Antigen test in the first 5 days of fever. After 7-10 days of continuous fever, the recommended test is Dengue fever antibodies IgG & IgM.
Dengue fever may progress to dengue hemorrhagic fever or dengue shock syndrome if left untreated. Dengue hemorrhagic fever (DHF) includes variable manifestations like bleeding, vomiting blood, passing blood in the stool, difficulty breathing, and cold, clammy skin, especially in the extremities. If progressed, the virus may attack blood vessels, causing capillaries to leak fluid into the space around the lungs (pleural effusion) or the abdominal cavity (ascites).
Dengue shock syndrome (DSS) is a severe complication of dengue fever caused when the body's immune system overreacts to the dengue virus. It can lead to a sudden drop in blood pressure and dehydration; if not managed timely, it may lead to multiple organ failures.
There is no specific treatment for dengue, but early diagnostic testing, such as the Dengue Fever NS1 Antigen test, can prevent the advancement of dengue to its complicated forms.
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CBC (Complete Blood Count)
A CBC (Complete Blood Count) test evaluates red blood cells (RBCs), white blood cells (WBCs}, and platelets. Each of these blood cells performs essential functions–RBCs carry oxygen from your lungs to the various body parts, WBCs help fight infections and other diseases, and platelets help your blood to clot–so determining their levels can provide significant health information. A CBC test also determines the hemoglobin level, a protein in RBC that carries oxygen from the lungs to the rest of your body. Evaluating all these components together can provide important information about your overall health.
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Absolute Lymphocyte Count
T lymphocytes (T cells): T cells control your body’s immune system response and directly attack and kill infected cells and tumor cells.
B lymphocytes (B cells): B cells make antibodies. Antibodies are proteins that target viruses, bacteria, and other foreign pathogens.
An Absolute Lymphocyte Count test measures the total number of lymphocytes in the blood. Lymphocytes are a type of white blood cells that play an important role in your immune system and help your body fight disease and infection. There are two main types of lymphocytes:
Lymphocytes help your immune system remember every antigen (a foreign substance) it comes in contact with. After an encounter, some lymphocytes turn into memory cells. When these memory cells run into an antigen again, they recognize it and quickly respond. It is also the reason why getting vaccinated helps prevent certain diseases.
Absolute Neutrophil Count
An Absolute Neutrophil Count test measures the percentage of neutrophils per microliter of blood. Neutrophils are a type of WBC and play an integral part in the body's immune system. They help fight off bacterial infections in the body by identifying and destroying foreign invaders, such as disease-causing microorganisms.
Differential Leukocyte Count
- Differential Neutrophil Count
- Differential Lymphocyte Count
- Differential Monocyte Count
- Differential Eosinophil Count
- Differential Basophil Count
There are five types of WBCs: neutrophils, lymphocytes, monocytes, eosinophils, and basophils. A Differential Leukocyte Count test measures the percentage of each type of WBC in the blood. Leukocytes or WBCs are produced in the bone marrow and defend the body against infections and diseases. Each type of WBC plays a unique role to protect against infections and is present in different numbers.
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Red Blood Cell Count
A Red Blood Cell Count test measures the total number of red blood cells in your blood. RBCs are the most abundant cells in the blood with an average lifespan of 120 days. These cells are produced in the bone marrow and destroyed in the spleen or liver. Their primary function is to help carry oxygen from the lungs to different body parts. The normal range of RBC count can vary depending on age, gender, and the equipment and methods used for testing.
An Hb (Hemoglobin) test measures the concentration of hemoglobin protein in your blood. Hemoglobin is made up of iron and globulin proteins. It is an essential part of RBCs and is critical for oxygen transfer from the lungs to all body tissues. Most blood cells, including RBCs, are produced regularly in your bone marrow. The Hb test is a fundamental part of a complete blood count (CBC) and is used to monitor blood health, diagnose various blood disorders, and assess your response to treatments if needed.
A Platelet Count test measures the average number of platelets in the blood. Platelets are disk-shaped tiny cells originating from large cells known as megakaryocytes, which are found in the bone marrow. After the platelets are formed, they are released into the blood circulation. Their average life span is 7-10 days.
Platelets help stop the bleeding, whenever there is an injury or trauma to a tissue or blood vessel, by adhering and accumulating at the injury site and releasing chemical compounds that stimulate the gathering of more platelets. A loose platelet plug is formed at the site of injury and this process is known as primary hemostasis. These activated platelets support the coagulation pathway that involves a series of steps, including the sequential activation of clotting factors; this process is known as secondary hemostasis. After this step, there is a formation of fibrin strands that form a mesh incorporated into and around the platelet plug. This mesh strengthens and stabilizes the blood clot so that it remains in place until the injury heals. After healing, other factors come into play and break the clot down so that it gets removed. In case the platelets are not sufficient in number or not functioning properly, a stable clot might not form. These unstable clots can result in an increased risk of excessive bleeding.
Total Leukocyte Count
A Total Leukocyte Count test measures the numbers of all types of leukocytes, namely neutrophil, lymphocyte, monocyte, eosinophil, and basophil, in your blood. Leukocytes or WBCs are an essential part of our immune system. These cells are produced in the bone marrow and defend the body against infections and diseases. Each type of WBC plays a unique role to protect against infections and is present in different numbers.
Absolute Basophil Count
An Absolute Basophil Count test measures the total number of basophils in the blood. Basophils are small, spherically-shaped cells that originate from bone marrow and make up almost 1% of the total white blood cells in the body. They attack a foreign substance and release proteins like histamine and heparin to destroy harmful substances, such as allergens, pathogens, or parasites. Histamine helps widen the blood vessels and make space for more immune cells to come to the site of infection or injury, whereas heparin acts as a blood-thinning agent and helps to avoid blood clotting at that site.
Absolute Monocyte Count
An Absolute Monocyte Count test measures the total number of monocytes in the blood. Monocytes are a type of WBC that originate from bone marrow and travel to different tissues via the blood. Once they are inside the tissue, these cells get converted to macrophages (a type of cell that digest harmful substances). Monocytes are the second line of defense mechanism of the human body after neutrophils. These cells are also responsible for the removal of injured or dead cells, microorganisms, and other insoluble particles from the blood.
Absolute Eosinophil Count
An Absolute Eosinophil Count test measures the number of eosinophils in the blood and provides important information about the functioning of the immune system. Eosinophils originate from bone marrow and have a lifespan of 8-18 hours. These cells are involved in fighting certain types of infections and responding to allergic reactions in the body. The eosinophils have varied functions including the physiological role in organ formation, such as the development of post-gestational mammary glands. Other functions of these cells include movement to the inflammation areas, trapping substances, killing cells, and bactericidal and antiparasitic activities. They also help in the treatment of immediate allergic reactions and modulation of inflammatory responses. By measuring the number of eosinophils in the blood, this test provides important information about the functioning of the immune system.
A Hematocrit test measures the proportion of red blood cells (RBCs) in your blood as a percentage of the total blood volume. It is a crucial part of a complete blood count (CBC) and helps in assessing your blood health. RBCs are responsible for carrying oxygen from the lungs to different parts of the body. The hematocrit test provides valuable information about your blood's oxygen-carrying capacity.
Higher-than-normal amounts of RBCs produced by the bone marrow can cause the hematocrit to increase, leading to increased blood density and slow blood flow. On the other hand, lower-than-normal hematocrit can be caused by low production of RBCs, reduced lifespan of RBCs in circulation, or excessive bleeding, leading to a reduced amount of oxygen being transported by RBCs. Monitoring your hematocrit levels is essential for diagnosing and managing various blood-related disorders.
Mean Corpuscular Volume
A Mean Corpuscular Volume test measures the average size of your red blood cells, which carry oxygen through your body. This test tells whether your RBCs are uniform or vary significantly in size.
Mean Corpuscular Hemoglobin
An MCH test measures the average amount of hemoglobin in a single red blood cell (RBC). Hemoglobin is an iron-containing protein in RBCs, and its major function is to transport oxygen from the lungs to all body parts. This test provides information about how much oxygen is being delivered to the body by a certain number of RBCs.
Mean Corpuscular Hemoglobin Concentration
An MCHC test measures the average amount of hemoglobin in a given volume of RBCs. MCHC is calculated by dividing the amount of hemoglobin by hematocrit (volume of blood made up of RBCs) and then multiplying it by 100.
Mean Platelet Volume
An MPV test measures the average size of the platelets in your blood. Platelets are disk-shaped tiny cells originating from large cells known as megakaryocytes, which are found in the bone marrow. After the platelets are formed, they are released into the blood circulation. Their average life span is 7-10 days.
Platelets help stop bleeding whenever there is an injury or trauma to a tissue or blood vessel by adhering and accumulating at the injury site, and by releasing chemical compounds that stimulate the gathering of more platelets. After these steps, a loose platelet plug is formed at the site of injury, and this process is known as primary hemostasis. These activated platelets support the coagulation pathway that involves a series of steps including the sequential activation of clotting factors; this process is known as secondary hemostasis. After this, there is a formation of fibrin strands that form a mesh incorporated into and around the platelet plug. This mesh strengthens and stabilizes the blood clot so that it remains in place until the injury heals. After healing, other factors come into play and break the clot down so that it gets removed. In case the platelets are not sufficient in number or are not functioning properly, a stable clot might not form. These unstable clots can result in an increased risk of excessive bleeding.
A PDW test reflects variability in platelet size, and is considered a marker of platelet function and activation (clot formation in case of an injury). This marker can give you additional information about your platelets and the cause of a high or low platelet count. Larger platelets are usually younger platelets that have been recently released from the bone marrow, while smaller platelets may be older and have been in circulation for a few days. Higher PDW values reflect a larger range of platelet size, which may result from increased activation, destruction and consumption of platelets.
An RDW CV test which is part of red cell indices, helps identify characteristics of red blood cells. RDW (red cell distribution width) measures the variations in the sizes of red blood cells, indicating how much they differ from each other in a blood sample. RDW is expressed as RDW-CV, a coefficient of variation. A higher RDW may suggest more variation in red cell sizes, while a lower RDW indicates more uniform red cell sizes.
CRP (C-Reactive Protein) - Quantitative
A CRP test measures the levels of C-reactive protein in your body. This test helps detect the presence of inflammation in the body. It is a non-specific test as it cannot diagnose a condition by itself or determine its exact location or cause.
CRP is an acute phase reactant protein produced by the liver in response to an inflammation in the body. This inflammation may be due to tissue injury, infection, autoimmune diseases, or cancer. CRP levels are often increased before the onset of other symptoms of inflammation, such as pain, redness, fever, or swelling. These levels fall as the inflammation subsides.
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Malarial Antigen (Vivax & Falciparum) Detection
A Malarial Antigen (Vivax & Falciparum) Detection test measures the presence of specific antigens (proteins) produced by Plasmodium vivax and Plasmodium falciparum parasites. These antigens are released into the blood during the lifecycle of the parasites and serve as a marker for the presence of malaria infection. Malarial Antigen (Vivax & Falciparum) Detection test targets and identifies these antigens, providing a means of detecting and differentiating between these two common types of malaria parasites.
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Widal Test (Slide Agglutination)
A Widal Test (Slide Agglutination) helps detect antibodies in the blood against typhoid-causing bacteria called Salmonella typhi.
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Peripheral Smear Examination
A Peripheral Smear Examination test is performed to check the characteristics of blood cells including:
- Red blood cells (RBCs)
- White blood cells (WBCs)
By placing the blood sample on a specifically treated slide, these blood components are analyzed under a microscope for their shape, size, and number. Any irregularity in these cells indicates blood disorders or abnormality, the presence of parasites in the blood, etc. This test is also a beneficial tool in monitoring a blood disease or deciding whether a certain medication or therapy is working effectively or not.
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A Chikungunya IgM test measures the presence of Immunoglobulin M (IgM) antibodies in the blood, specifically targeting the Chikungunya virus. These antibodies are produced in response to a recent Chikungunya infection, helping diagnose the active phase of the disease.
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Urine R/M (Urine Routine & Microscopy)
A Urine R/M (Urine Routine & Microscopy) test involves gross, chemical, and microscopic evaluation of the urine sample.
Gross examination: It involves visually inspecting the urine sample for color and appearance. Typically, the urine color ranges from colorless or pale yellow to deep amber, depending on the urine’s concentration. Things such as medications, supplements, and some foods such as beetroot can affect the color of your urine. However, unusual urine color can also be a sign of disease.
In appearance, the urine sample may be clear or cloudy. A clear appearance is indicative of healthy urine. However, the presence of red blood cells, white blood cells, bacteria, etc., may result in cloudy urine, indicating conditions such as dehydration, UTIs, kidney stones, etc. Some other factors, such as sperm and skin cells, may also result in a cloudy appearance but are harmless.
Chemical examination: It examines the chemical nature of the urine sample using special test strips called dipsticks. These test strips are dipped into the urine sample and change color when they come in contact with specific substances. The degree of color change estimates the amount of the substance present. Some common things detected include protein, urine pH, ketones, glucose, specific gravity, blood, nitrites, and urobilinogen.
Microscopic examination: This involves the analysis of the urine sample under the microscope for casts, crystals, cells, bacteria, and yeast.
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Ph for Urine
Typhidot IgG & IgM
A Typhidot IgG & IgM test is an important diagnostic tool to diagnose typhoid fever. This test usually shows the infection within 2-3 days and detects IgM and IgG antibodies, illustrating a recent and a past infection respectively. When Salmonella typhi, the causative bacteria from typhoid, enters the body, your immune system, as a response, releases two types of antibodies (specific proteins), IgM and IgG, against the outer membrane protein of Salmonella typhi.
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Typhi Dot IgM
A Typhi Dot IgM test is an important and rapid diagnostic tool to diagnose typhoid fever. This test usually shows the typhoid infection within 2-3 days by detecting IgM antibodies, illustrating an active infection respectively. When Salmonella typhi enters the body, your immune system produces IgM antibodies as the body's first response of defense against the outer membrane protein of Salmonella typhi.
IgM antibodies are usually present in higher concentrations shortly after infection before gradually decreasing and eventually disappearing. Therefore, a positive IgM test for Salmonella Typhi typically suggests a recent or acute infection.
Typhi Dot IgG
A Typhi Dot IgG test is performed to detect the presence or absence of IgG antibodies against Salmonella typhi, the bacteria that causes typhoid fever. IgG antibodies are the most frequent type of antibody, which are developed at a later stage, usually 2-3 weeks after the virus invades the body and causes the infection, and it remains in the body for life. Thus, the presence of IgG antibodies signifies if an individual has been infected with typhoid in the past.