The management of sinusitis is often aided by bacterial and fungal cultures from which Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis, Staphylococcus aureus, and occasionally aerobic Gram-negative bacilli are the most commonly recovered pathogenic organisms. The Corewell Health West Microbiology Lab has several orders available for culturing sinus specimens collected as fluid aspirates, tissue, or swabs. Though more challenging to collect, aspirates are preferred over swab cultures that often grow mixed normal upper respiratory flora for which it is difficult to interpret the clinical significance.
| Available Sinus Culture Orders | Default Specimen Type | Comments |
| Body Fluid Culture [LAB2111016]
Respiratory Culture [LAB3095] Tissue Culture [LAB2111173] |
Aspirated fluid
Swabbed collection Tissue |
For aerobic bacteria |
| Fungal Culture [LAB240] | Aspirated fluid or tissue, preferred
Swabbed collection |
For fungal organisms |
| Anaerobic Culture [LAB233] | Aspirated fluid or tissue* | For anaerobic bacteria |
Education & Training, General Information, Immunochemistry, Test Utilization
Webinar: Optimizing Care of the Respiratory Patient – The Role of Specific IgE Testing
It’s the season of sunshine and blooms which also means it can be a season of sneezing, itching, and a lot of trouble getting a good breath in for some.
⇒Are you prepared to meet the needs of your patients that may be suffering from some of these symptoms?
⇒Are you well versed in the difference between a sensitivity and a clinical allergy and how you can differentiate between the two?
⇒Do you know the resources we have at Corewell Health to assist in these determinations?
Effective July 1, 2023, the Corewell Health Outpatient Laboratory at 35 Michigan will restrict our services to pediatric patients.
This change will create an exceptional experience for our smallest patients by decreasing wait times, decompressing the waiting room, and allowing the team to focus on the pediatric experience. There will be exceptions such as “adult” patients followed by the pediatric clinics or parents of children who are also being drawn. We will also continue to see adult patients scheduled by practices located in 25/35 Michigan. Special testing such as Ammonia, Cryoglobulin, Venous Blood Gas, Platelet Aggregation, Cold Agglutinin Titer, Carboxyhemoglobin, Lactic Acid, Lactate/Pyruvate Ratio, Verify Now may still be collected at this site as well.
Alternative options for patients no longer able to be drawn at 35 MI Lab can be found here: Lab Locations. The nearest location is Butterworth Outpatient Lab, located just off the main Butterworth lobby.
The following information was updated in the Lab Catalog.
Beginning May 31st, 2023, the following Toxicology blood test’s reference range will be updated to reflect current best practices. Please refer to the Corewell Health Lab Test Directory for new reference ranges.
Tissue specimens less than 0.1cm may yield insufficient results if submitted for Tissue Pathology. To make the best use of diagnostic tissue material please follow the below guidelines:
| Biopsy Size | Order Code | Test | Preservative |
| <0.1cm | LAB2111263 | Fine Needle Aspiration (FNA) Cytology | *CytoLyt solution |
| >0.1cm | LAB8 | Tissue Pathology | 10% Formalin |
*Place entire specimen in CytoLyt. Do not attempt to make smears from specimen.
Please contact the Corewell Health Pathology Department at (616)267-2622 Mon-Fri, 8am-5pm, or the Corewell Health Laboratory Call Center at (616)774-7721, 24/7 to speak with a Pathologist.
Monoclonal gammopathies are characterized by the secretion of a monoclonal protein or M-protein. A wide variety of conditions can produce an M-protein, and the initial screening and monitoring of these patients require an array of tests. Herein we described best practices for protein electrophoresis ordering at Corewell Health.
The following information was updated in the Lab Catalog.