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Clinical Services

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The Clinical Services Department recognizes the importance of disease prevention and health promotion.

For this reason, the experience and professionalism provided by the Hospital Staff is at your service offering complete Health Check Ups also known as the Executive Health Check Ups.

These comprise the following areas:

1. Laboratory.

2. Medical Imaging.

3. Cardiology.

4. Endoscopy.

5. Optometry.

6. Respiratory Therapy.

7. Audiometry.

8. Internal Medicine Evaluations.

9. Nutritional Evaluations.

Similarly, we offer Electro neurophysiology service led by specialized technical staff, providing services of:

 Sleep Electroencephalogram (EEG):

Awake.

Induced Sleep.

Spontaneous Sleep-Wake.

 Electromyography (EMG):

Basic, Intermediate or Complex.

 Nerve Conduction Velocity (NCV).

Clinical Laboratory


The Clinical Laboratory of CIMA Hospital has the latest technology for the analysis of clinical samples in the areas of Clinical Chemistry, Hematology, Serology, Bacteriology, Parasitology and Urinalysis. In each of these areas automated equipment is used to ensure the speed, reproducibility and quality of results.

Moreover, it follows with a strict quality control program in all areas of the Laboratory, including internal controls and participation in programs of national external quality control as the College of Microbiologists and Clinical Chemists and INCIENSA, and international programs such as EQAS (BIORAD, USA) and RIQAS (Randox, England).

The Clinical Laboratory is open to public 24 hours, 365 days a year. It offers the latest available diagnostic tests and the Pro-BNP (diagnosis of congestive heart failure), Procalcitonin (PCT, diagnosis of sepsis), anti-CCP antibodies (early diagnosis of rheumatoid arthritis).

Blood Bank.

The CIMA Hospital Blood Bank has the best technology, supplies and personnel management for procurement and preparation of hemocomponents and for blood group determination, antibody studies and compatibility tests. We care about maintaining an adequate supply of blood products to meet the needs of our patients.

The hemocomponents available in the blood bank are packed red blood cells, fresh frozen plasma, cryoprecipitate and platelets. All piping and separation systems used are disposable which increases the degree of Biosecurity for the donor and potential recipient.

Blood Bank participates in the External Quality Control of the Brazilian Society of Hematology and Hemotherapy, which was obtained in the previous round, the Certificate of Excellence by the proven quality of technical procedures. All the above translates into quality of care and safety for our patients.

Pathology.

The Pathology Laboratory of Hospital CIMA, specializes in studies of immunohistochemistry, including the study of tumors, lymphomas and prognostic factors of malignant lesions.

Pathology Services: Surgical pathology, Breast Pathology, GI Pathology, Lymphomas, Neuropathology, Neuromuscular Pathology, Liver Pathology, Soft Tissue Tumors, Head and Neck Pathology, Gynecologic Pathology, Frozen Section Biopsies for Mohs Surgery, Available 24 hours for frozen section biopsies, Biopsy by fine needle aspiration, Monolayer® Cervical Cytology.

Quality controls have been adopted under the highest international standards, corresponding to those required by Joint Commission International (JCI), which include review of all frozen section biopsies in correlation to the definite biopsy, correlation between cytology and uterine biopsy as well as a Pathologist review of a 12% of all Pap smears.

The Pathology Laboratory of Hospital CIMA, has four pathologists specialized abroad in different branches of pathology. These professionals are recognized nationally and internationally, and have highly qualified technical personnel. Additionally, there is support from external consulting services in Costa Rica and from abroad together with the highest quality equipment.

Laboratory tests.

Through the Preventive Medicine Program, Guanahealth wishes to provide guidance to persons towards proper comprehensive health maintenance, thereby contributing to an improved quality of life through an early detection of diseases that affect the general population.

 Kidney Profile:

Sodium.

Potassium.

Creatinine.

 Thyroid Profile:

Anti-microsomal Antibodies.

T.H.S.

Free T4.

Free T3.

Antithyrogloblulin Antibodies.

 Hepatic Profile:

Total & Fractionated Bilirubin.

S.G.O.T.

S.G.P.T.

Gama-Glutamyl Transpeptidase.

Alkaline Phosphatase.

 Internal Medicine Plan:

Blood Sugar Levels.

Complete Blood Count.

S.G.P.T.

General Urine.

Lipid Panel.

 Rheumatology Plan:

Rheumatoid Factor for R.A.

Antinuclear Antibodies.

Antinuclear Antibodies.

Imaging Diagnosis


The imaging diagnosis service refers to technologies that are used in several areas of medicine to see inside the body and look for clues about the clinical picture. A variety of equipment and techniques can create images of structures and activities inside your body. The type of test your doctor recommends will depend on your symptoms and the body part to be examined. Conventional X-rays, ultrasounds, CT scans, and magnetic resonance images are used for diagnosis of various diseases.

Helical Tomography.

Data are obtained on a volumetric basis, allowing for a non-invasive endoscopic view, tridimensional reconstruction packages, and preventive diagnosis images, such as: Calcic Score, CT Coronary Angiogram, CT Angiography, CT Pulmonary Analysis and others.

The speed with which information is acquired facilitates pediatric and/or geriatric studies, often permitting to avoid sedatives. Furthermore, the employment of intravenous contrast media agents is optimized, with the synchronized use of the automatic injector, working at maximum peak intensity, thus minimizing dosage.

Magnetic Resonance Imaging

• Automatic planning, Fast scanning, Studies synchronized with cardiac and/or respiratory monitoring, Muscle, skeletal, thorax-abdomen-pelvis and neurovascular application, Multi-element antennas covering more anatomy with no loss of quality.

Computed Radiology.

The acquisition of this technology has optimized the use of radiation because the imaging plate (IP) screens respond to an increased sensitivity to radiation. This is the result of an interest in this radiological practice towards protection of exposed personnel, the public and the environment.

The AGFA CR system permits harmonizing with the environment by removing the use of chemical developers.

Given the sensitivity of the receptor, the radiation dose is reduced, More speed in sub-processing the diagnosis imaging system, Increased information, by applying manipulation software packages, thus providing more tools for diagnosis, Digital information can be stored, shared and sent remotely, thus propitiating inter-consultation, Easily copied and carried by the patient in an easier manner.

Densitometry.

This is the standard method to measure bone density. It is a quick, painless procedure for measuring bone tissue loss.

Fluoroscopy.

High-speed acquisition, Easy image processing, Movie-view mode, Display similar to CAT and MRI modes, Update service available.

Ultrasound.

Ultrasound, also known as sonography or echography, is a diagnosis procedure that transmits high-frequency sound waves, inaudible to the human ear, through body tissues Echoes are recorded and transformed into video or photographic images of the internal structures of the body. Ultrasound images are an aid in the diagnosis of an ample range of illnesses and conditions. Ultrasound is used to create images of the structures of soft tissues, for vascular studies, and to study joints and minor parts, such as thyroids, testicles, eyes, etc. It can be used too with other diagnosis procedures, such as guided biopsies, collection drainages and abscesses.

Our Hospitals has state-of-the-art ultrasound equipment, such as 4D ultrasound, for studies of obstetrics in general, as well as HD Life Technology equipment, with high-resolution transducers, with capability for assessments with the best resolution in the market.

Mammography.

Mammography is specialized medical imaging that uses a low-dose x-ray system to see inside the breasts. A mammography exam, called a mammogram, aids in the early detection and diagnosis of breast diseases in women.

An x-ray (radiograph) is a noninvasive medical test that helps physicians diagnose and treat medical conditions. Imaging with x-rays involves exposing a part of the body to a small dose of ionizing radiation to produce pictures of the inside of the body. X-rays are the oldest and most frequently used form of medical imaging.

Three recent advances in mammography include digital mammography, computer-aided detection and breast tomosynthesis.

 Digital mammography, also called full-field digital mammography (FFDM), is a mammography system in which the x-ray film is replaced by electronics that convert x-rays into mammographic pictures of the breast. These systems are similar to those found in digital cameras and their efficiency enables better pictures with a lower radiation dose. These images of the breast are transferred to a computer for review by the radiologist and for long term storage. The patient’s experience during a digital mammogram is similar to having a conventional film mammogram.

 Computer-aided detection (CAD) systems search digitized mammographic images for abnormal areas of density, mass, or calcificationthat may indicate the presence of cancer. The CAD system highlights these areas on the images, alerting the radiologist to carefully assess this area.

 Breast tomosynthesis, also called three-dimensional (3-D) mammography and digital breast tomosynthesis (DBT), is an advanced form of breast imaging where multiple images of the breast from different angles are captured and reconstructed ("synthesized"”) into a three-dimensional image set. In this way, 3-D breast imaging is similar to computed tomography (CT) imaging in which a series of thin "slices" are assembled together to create a 3-D reconstruction of the body.

Although the radiation dose for some breast tomosynthesis systems is slightly higher than the dosage used in standard mammography, it remains within the FDA-approved safe levels for radiation from mammograms. Some systems have doses very similar to conventional mammography.

Large population studies have shown that screening with breast tomosynthesis results in improved breast cancer detection rates and fewer "call-backs," instances where women are called back from screening for additional testing because of a potentially abnormal finding.

Breast tomosynthesis may also result in:

• earlier detection of small breast cancers that may be hidden on a conventional mammogram.

• greater accuracy in pinpointing the size, shape and location of breast abnormalities.

• fewer unnecessary biopsies or additional tests.

• greater likelihood of detecting multiple breast tumors.

• clearer images of abnormalities within dense breast tissue.

Pharmacy


Our pharmacies are highly specialized, in addition to meeting the needs of our outpatients, must meet the requirements of hospitalized patients receiving medical and surgical treatments.

We count with excellent Pharmacists twenty-four hours a day, every day of the year you can acquire your medicine, prescriptions. They are concerned with serving the people in their pharmaceutical needs through the selection, preparation, acquisition, control, dispensing, drug information and other activities aimed at achieving an appropriate, safe and economic use of medicines for the benefit of patients treated at the hospital and its outpatient setting.