Породување - Ре Медика | Poroduvanje - Re Medika



Department of Diagnostics includes several medical branches in the outpatient polyclinic. The activities of this department are aimed at prompt and accurate diagnosis of the patient’s problems and the indication of appropriate treatment. For this purpose, the outpatient facilities of this department are equipped with state-of-the-art equipment and medical technology, utilizing modern methods and approaches of work combined with engagement of highly qualified and subspecialized personnel.

Starting from the motto that a good conversation with a patient is half diagnosis and the correct diagnosis – half of the treatment, the professional team of this department is available daily to numerous patients who leave our hospital in a satisfactory manner.

This Department incorporates many specialities including:

  • Internal medicine-gastro-enterohepatology with abdominal and interventional ultrasound

  • Angiography

  • Endoscopy

  • Cardiology

  • Neuropsychiatry / neurology

  • Orthopedics

  • Physical medicine and rehabilitation

  • Otorhinolaryngology

  • Ophthalmology

  • Children’s psychiatry

  • Medical psychology and psychotherapy

  • Dermatological and venereal diseases

  • Diagnostics laboratory

  • Microbiological laboratory

  • Radiology

  • Breast Disease Center

  • Oncology

  • Rheumatology

  • Endocrinology

  • Transfusion medicine

Our success is confirmed by the number of patients who day-to-day entrust us with care for their health!

Prim. d-r Ivanka Stefanovska, Head of Diagnostics Department



The Ambulatory for  Gastroenterhepatology and Abdominal Ultrasound Diagnosticst has state-of-the-art 3D ultrasound diagnostic equipment, TOSHIBA AplioMX with color Doppler, Power Doppler and Dynamic Flow.

It is managed by D-r Liljana Tevdovska, an internist with rich and extensive internist experience in gastroenterohepatology with pancreatology.
Invasive diagnostics and invasive therapeutic procedures are a major hallmark of this diagnostics in Re-Medika.

In this ambulatory, patients are often referred for specialist internist gastroenterological examinations with ultrasound diagnostics, therapy and follow-ups in relation to following conditions:

  • Abdominal pain: Any acute or chronic pain can be a signal of acute or chronic gastrointestinal tract disease
  • Liver Diseases: Fatty Liver, Alcoholic Liver Disease, Liver Cirrhosis, Acute Alcoholic Hepatitis, Toxic Liver Disease, Chronic (B and C) Hepatitis, Autoimmune Hepatitis, liver tumors and cysts
  • Pancreatic Diseases: Inflammatory diseases of the pancreas such as acute and chronic pancreatitis, pancreatic pseudocysts and pancreatic tumors
  • Diseases of the gallbladder and biliary tract, biliary calculi, acute and chronic inflammation of the gallbladder and biliary tract, gall bladder and biliary tumors.
  • Diseases of the spleen – Enlarged spleen, traumas, inflammatory diseases and malignant diseases
  • Kidney and urinary tract diseases: acute and chronic inflammatory diseases, renal calculus, tumors, cysts, traumas
  • Diseases of the abdominal aorta: Diagnosis of atheromatosis of the abdominal aorta, aortic aneurysm as a detection of TM changes at enlarged lymphatic glands in retroperitoneum
  • Appendicitis: This ambulatory is using ultrasound examination to differentiate abdominal pain due to acute appendicitis
  • Regular check-ups in pacients on onkological treatment

Numerous gastroenterological procedures of a non-invasive diagnostic nature are performed daily in the clinic, including ultrasound tomography of the organs of the abdomen: liver, gallbladder and biliary tract, pancreas, spleen, kidney, adrenal glands, para aortic region and ultrasound diagnosis of appendicitis.

For detailed assessment of blood flow, color and power Doppler ultrasonography of vascular structures in the abdomen such as abdominal aorta, portal vein, lower hollow vein and hepatic venous basin, renal blood vessels is used.

At the same time, this ambulatory also provides services in the part of invasive diagnostic and therapeutic procedures under ultrasound, which are performed only in some facilities in the Republic of Macedonia.

Invasive procedures include: thin needle aspiration biopsies under ultrasound, percutaneous drainage procedures under ultrasound such as: fluid evacuation, purulent collections, pancreatic pseudocysts, percutaneous biliary drainage, percutaneous nephrostomy.
All techniques involve permanent ultrasound imaging.


The General Hospital Re-Medika – Skopje, in its subspecialised Endoscopic Ambulatory provides top diagnostics in all patients, such as: diagnostic colonoscopy, polypectomy, gastroscopy with helicobacter pylori biopsy, rectosigmoidoscopy, ligation of hemorrhoids, treatment of anal fissures, consultative subspecialty examinations, abdominal ultrasound diagnostics.

Department of Endoscopy and invasive gastroenterology began its work in September 2005.
During the past 12 years we can emphasize the high professional level of work, performing numerous endoscopic procedures that include both diagnostic and interventional endoscopy, keeping up with the latest trends in gastroenterology and endoscopy as well as applying in our theater.

In Re-Medica the concept of “painless endoscopy” is realized, which is often the main reason that deters patients from this diagnostic procedure.

Protocol for Patient Preparation:

Diet recommendation before preparation for testing and purification with FORTRANS
Recommended diet for the days before the intervention (3 days):

Day One

  • Mashed potato
  • Cooked rice
  • Honey
  • Clear soup from (cube)
  • Clear juices (apple)
  • Teas
  • Carbonated drinks
  • Coffee (without milk)
  • Water

Day Two

  • Honey
  • Clear soup from (cube)
  • Clear juices (apple)
  • Teas
  • Carbonated drinks
  • Coffee (without milk)
  • Water

Day Three

  • Honey
  • Clear soup from (cube)
  • Clear juices (apple)
  • Teas
  • Carbonated drinks
  • Coffee (without milk)
  • Water
  • Fortrans powder:
  • 2 bags are dissolved in 2l of water and drinked in 2 hours (from 09:00 to 11:00)
  • 2 bags are dissolved in 2l of water and drinked in 2 hours (from 16:00 to 18:00)

Prescribed oral tablets should be taken with a small amount of water 4-6 hours prior to examination
If the intervention is performed with anesthesia you need to stay in the hospital for additional 1-2 hours and DO NOT drive by yourself for the first 6 hours.


D-r Liljana Tevdovska, Internist and D-r Violeta Hristova Janic, Subs. internist-gastroenterocheopathologist
General internal medical examination
Ultrasonography examination of the abdomen (stomach)
Gastro – Duodenoscopy
Rectoscopy – RectoscopyRectoscopy – Rectoscopy
Endoscopic placement of gastric baloon
Removal of gastric balloon
Helicobacter test, direct
Consultative examination without anoscopy
Banding treatment of piles
Ampoule BOTULINUM TOXIN application
Injection sclera-therapy of active bleeding ulcuses with adrenaline
Dilatation by RECAMIE
Consultative examination with anoscopy
Preparedness for endoscopic interventions
Abdominal ultrasound-gastroenteropathology
Controll internal medical examination
Nasogastric tube placement
Diagnostic puncture of fluid in abdomen
Thin-needle biopsy of liver, pancreas or tumors in abdomen
Diagnostic pleural puncture
Percutaneous transhepatic biliary drainage
Percutaneous drainage of abscess
Percutaneous drainage of pseudo cyst of pancreas
Percutaneous nephrostoma
Endoscopic removal of alien-body of esophagus, stomach
Endoscopic Polypectomy
 Colonoscopy and polypectomy
Anoscopy with ligature of varices (single act)


Doppler of peripheral blood vessels
Doppler of carotid artery


In the department of diagnostic operates Cardiology ambulatory which each day performes specialist cardiological examinations.
It is equipped with state-of-the-art equipment for complete non-invasive cardiology diagnostics: 12-channel ECG, 3D Ultrasonic aparatus Toshiba, Color Doppler Xario, Power Doppler and Dynamic Flow; cardiac stress test; 24-hour ECG Holter monitoring and 24-hour ABP monitoring.


What is echocardiography and how is it performed?

Echocardiography, like all echosonographies, is a painless, non-invasive examination that is not harmful and can be repeated as often as needed. The examination itself is performed with an ultrasound probe that is placed on the patient’s chest and records the repulsed ultrasound signals on the monitor of the ultrasound aparatus where a real-time image of the heart is created.
Several evaluation techniques are used for examination such as one-dimensional M-mode, two-dimensional M-mode, and Doppler techniques (pulse, continuous and color Doppler), which evaluate the size, appearance and mobility of the heart cavities, appearance and the function of the heart valves and the large blood vessels coming out of the heart.

What are the most common indications for this examination?

Echocardiography has great importance in the detection and evaluation as well as the effects of treatment of certain heart diseases such as: heart valve diseases, cardiomyopathies, heart insufficiency  (weakness), congenital and acquired heart defects, myocardial infarction, myocardial infarction ), inflammation and other diseases of the heart muscle, assessment of arterial hypertension, heart rhythm disorders, detection of thrombotic masses or tumors in the heart.


What is cardiac stress test?
Cardiac stress test (CST) or popularly called ergometric test is a diagnostic procedure for diagnosing, evaluating and treating patients with suspected or already diagnosed cardiovascular disease, especially coronary arterial disease. It is a physical load test, which is performed in several stages according to a predetermined procedure.

Who indicates it and how is the test performed?
Any cardiac stress test should be indicated by a specialist internist-cardiologist. The test is performed on the moving track and by a standardized protocol by the Bruce method. The patient is monitored via electrodes to measure vital parameters: blood pressure, pulse and ECG.

What the patient needs to know before preforming the test?
A cardiac stress test is a safe, non-invasive diagnostic method. However, before performing the test, every patient should be familiarised with the details of the test procedure, possible complications in terms of droping of arterial blood pressure, dizziness and collapse. Patients who are diabetic, hypertensive or with heart disease should be taking the prescribed therapy. Patients should be on a light meal for two hours before performing the test. Before starting the test if they are experiencing any discomfort (fatigue, exhaustion, increased heartbeat, shortness of breath, tension and / or chest pain or in any part of their body), they are obliged to notify the doctor conducting the test.

Contraindications to the test:
· Acute myocardial infarction

· Cardiac decompensation

· Irregular arterial hypertension

· Bronchial asthma

· Anemias (more severe forms)

· Multifocal ventricular extrasystole

· Left bundle branch block of the His bundle and overexcitation syndrome (due to inability to assess electrocardiographic changes during and after loading).

In daily run-through one of the most commonly performed diagnostic procedures in cardiology ambulatories.


What is Holter-ECG Monitoring?
Holter-ECG is a diagnostic procedure according to which 24-hour continuous ECG registration is made while the patient is performing all usual activities. The procedure itself is non-invasive, comfortable because the patient during the examination is not restricting his usual activities, and there is a possibility of repeating the procedure in a short period of time. The apparatus via wires is connected to self-adhesive electrodes applied to the chest – seven in total. The apparatus itself records three ECG channels that are most frequently analyzed. The obtained ECG record via flash memory card is transferred to the computer’s hard drive for further analysis.

What are the indications for Holter-ECG monitoring?
The main indication for performing this diagnostic procedure is the occurrence of heart rhythm disorder, unclear collapse states, as well as patients with approaches to chest pain in whom cardiac stress testing is not possible. When analyzing the obtained data we get insight into the basic heart rhythm, heart rate changes, ectopic activity, (extracistols), conduction pauses, (heart blocks), Q-T interval as well as ST segment – denivelation.

Diagnostic procedure that performs a 24-hour arterial blood pressure measurement while the patient performs daily activities.

How is the procedure performed?
It is performed in such a manner that the patient is fitted with a device the size of a mobile phone around the belt and connected to a bracelet placed on the patient’s upper arm. The device itself is computer programmed to measure arterial blood pressure and pulse every half an hour, and the values obtained are then processed and analyzed by computer to obtain a graphical representation of the values obtained. From the analysis we get insight into the day and night variations of the blood pressure, pulse, average value of the arterial blood pressure.

Which are the indications for performing this diagnostical procedure?
In many countries around the world this diagnostical procedure is routine in establishing the diagnosis of the disease itself (hypertension). In our case, the most common indication is the diagnosis of the disease itself, which avoids the phenomenon of white coat (elevation of blood pressure in the doctors’ ambulatories), unregulated arterial hypertension as well as the suitability of the given antihypertensive therapy.


D-r Lidija Palanova, internist-cardiologist
Cardiological examination and consultation
Ultrasonographic examination of the heart
Electrocardiogram (ECG) and interpretation
Cardiac stress test
Holter – Continuous electrocardiogram
24-hour measurement of the Blood Pressure
Cardiological Controll checkup


Neurology is a branch of medicine dealing with diseases of the brain and head, spinal cord and peripheral nerves including:

  • Headaches

  • Vertigos

  • Memory disorder

  • Movement disorder

  • Tremor

  • Consequences of head or spinal column injuries

  • Pain syndromes like back pain and lumbar spine lumbago

  • Weaknesses in arms and legs

  • Neurological disorders of swallowing and speaking

  • All of the above symptoms may be a consequence of some neurological diseases such as stroke; Degenerative diseases of the brain and spine; Circulatory diseases in the range of arteriosclerosis, diabetes; Head and Spine Injuries; Tumors;

Neurological examinations:

  • Neurological status

  • Electroencephalography

  • Electromyoneurography

  • Possibility to comment on CT images of the brain, spinal column, angiography

  • Migraine and other headaches

  • Neuralgia

  • Vertigo and balance disorder

  • Memory / Dementia Disorder

  • Pain Syndromes – Pain in the neck or lumbar spine (cervicobrachial syndrome, lumboischialgia, etc.)

  • Parkinson’s disease, tremor and other movement disorders.

  • Swallowing and speaking disorders

  • Degenerative diseases of the brain and spinal

  • Epilepsy

  • Prevention and treatment of stroke

  • Mood Disorders – (depressive syndrome)

  • Anxiety Disorders – Panic Disorders, Social Phobia, Obsessive-Compulsive Disorder

  • Stress

  • Sleeping disorder

  • Eating Disorders – Anorexia, Bulimia

  • Somatoform Disorders (Psychosomatic Disorders), Conversion Disorders, Hypochondria

  • Communication, attention and behavior disorders

  • Consultative checkups

  • Systematic checkups

Other Services

  • Psychiatric exploration and evaluation of psychic status, as well as psychotherapy and more types of training exercises. Treatment is individual and is by appointment.

  • Consultative and systematic checkups

  • Commenting on findings from computed tomography and magnetic resonance imaging of the brain and spinal colum, as well as CT angiography

Psychiatric examination includes

  • Conversation and anamnesis with accurate diagnosis and treatment of psychiatric disorders

  • In the ambulatory, diagnostics and treatment are performed

  • Mood Disorders (Depressive Synd.), mood disorders due to general physical condition

  • Anxiety Disorders – Panic Disorders, Social Phobia, Obsessive-Compulsive Disorder

  • Sleep disorder

  • Sexual disorder

  • Eating Disorders – anorexia, bulimia

  • Somatoform Disorders (Psychosomatic Disorders), Conversion Disorders, Hypochondria

  • Communication disorder

  • Attention disorder

  • Behavior disorders

Treatment is individual (45min term)

  • With the ability to examination, pharmacotherapy

  • Psychotherapy

  • Exercises for mental relaxation


D-r Bjanka Chachev Spanchevska, neuropsychiatrist | MSc. Sci. D-r Goran Kolevski, neurologist
Neurological examination
Psychiatric examination
Package: Neuropsychological examination and EEG
Control examination
Electroencephalography – EEG
Electromyography – EMG
Upper extremities EMG
Lower extremities EMG
Evoked potential – EP
BOTOX application
EEG with deprivation in a sleep
ndividual psychotherapy séance
Short psychotherapy
Extracranial and transcranial color Doppler sonography
Transcranial Doppler monitoring of MES/PFO
Package: Neurological examination; Extracranial and transcranial color Doppler sonography EEG in children
Treatment of acute stroke (intravenous thrombolysis) – day hospital +monitoring
Transcranial parenchymal sonography


Clinical examination of adults with orthopedic problems

Clinical and ultrasound examination of the osteoarthritic system of infants

Ultrasonographic apparatus TOSHIBA Aplio MX and the possibility of:

  • Clinical and ultrasound examinations of children and adults

  • Screening of children’s hips (clinical + ultrasound)

Ultrasonography of adult patients

Densitometric examinations of children and adults to detect osteoporosis and other diseases of the skeleton

The office is equipped with the LUNAR Prodigy ADVANCE apparatus, a densitometer with many features and applications:

  • Assesment of bone density of the spine and hips – osteoporosis diagnosis and monitoring

  • Unique possibility for analyzing the bone structure of the vertebrae (TBS) with the ability to accurately assess their porosity

  • Entire Body Densitometry – Used in Systematic Examination and Screening of Bone Densities in Diseases Affecting the Skeleton (Chronic, Endocrinological, Corticosteroid Therapy, etc.)

  • Morphometric analysis of the spinal column in lateral and in AP position

  • Analysis of hip implants

  • Densitometry of children with special software for children’s population

  • Conservative treatment congenital clubfoot (plaster casts according to Ponseti method)

  • Puncture and administration of intra-articular injections

  • Small outpatient interventions


Prim. Ivanka Stefanovska, MSc, orthopedist
Orthopedic examinations
Orthopedic examinations of a child
Ultrasonic orthopedic examination
Puncture on bursa + amp.kenalog
Plaster cast or removal
Intra-articular application
Autologus Conditioned Plasma
Collagen application


The Department of Physical Medicine and Rehabilitation has existed within Re-Medika since its foundation.
At the department ,a specialist doctor performs examinations and provides outpatient physical therapy, early rehabilitation of inpatients from all hospital stays, and late outpatient rehabilitation.Work is conduted in ideal conditions with state-of-the-art equipment from the physical area.

The most commonly used are electro procedures, ultrasound, magnet, laser, kinesioprogram, which is prepared individually for each patient.

The Department works physical therapy and rehabilitation of patients with:

  • Orthopedic: degenerative diseases of the spine and peripheral joints (spondylosis, spondyloarthrosis, discopathy, arthrosis), osteoporosis

  • Traumatology: fractures solved by plaster immobilization or osteosynthetical material

  • Neurological: paresis, paralysis, post-stroke conditions

  • Surgery: arthroscopies, ligamentoplasty, artificial hip and knee

What are the effects of physical therapy?

  • Reducing or complete removal of pain

  • Improving of local circulation

  • Reducing of swelling

  • Anti-inflammatory action

  • Improving metabolism locally

  • Enhancement of trophic and tissue regeneration

  • Preventing the creation of connective tissue and scars

  • Establishment or improvement of the function of the stripped nerves

  • Improvement or complete return of the mobility range of the joint

The main purpose of physical therapy and rehabilitation treatment is to fully or partially restore the patient’s functionality to perform daily home and work activities, thus increasing contribution to the family and society.

Ten years ago a new method was introduced in our department, the so called eswt – extracorporeal shock wave therapy.
At the moment it is a highly successful method for breaking periarticular calcifications (calcifications of shoulder, hip), heel spikes, tennis elbow, golf elbow, tendon diseases.


Trajanka Dimitrijeska MD, physiatrist
Examination by a Physician-Specialist
Electro-Therapy – Dia-Dynamic; – Electro-Phoresis; – Interferent
Electro-Therapy with “VACMED”
Sonotherapy (Ultrasound)
PhotoTherapy – Infra-Red Lamp
PhotoTherapy – Laser
Full-Body Massage
Partial Body Massage
“RELAX” Full-Body Massage
SHOCKWAVE therapy of periarticular calcifications
SHOCKWAVE – (1treatment)
Power-plate training
Physical Therapy Package 1 (Electro Procedures + Ultrasound)
Physical Therapy Package 2 (magnet, laser)
Physical Therapy Package 3 (massage, kinesiotherapy)
Physical Therapy Package 4 (postsurgical rehabilitation)
Osteopathic examination/consult/advice
General osteopathic examination-treatment
Dysfunction corrections (spine, pelvis) examination + treatment
Dysfunctional joint corrections (shoulder, elbow, knee) examination + treatment
Preventive treatments: decompression of the spine, pelvis, soft tissue, diaphragms Craniosacral treatment
Dysfunction corrections (spine, pelvis) examination + treatment
Anti-stress treatment
Kinezio Taping – Bandaging with Kinezio tapes


  • Diagnostics of acute and chronic ear, nose and throat diseases

  • Children’s ENT

  • Endoscopic examination of upper respiratory tract with video recordings

  • Allergological examination and treatment

  • Diseases of hearing and balance

  • Voice and speech disorders (hoarseness, speech aids)

  • Taste and smell disorders

  • Diagnosis and treatment of sleep apnea

  • Diagnosis of Tu changes in the skin of the head and neck

  • Inhalations, aspirations, and radiation therapy

  • Polysomnographic test for Sleep apnea for children and adults

  • Rhinomanometry


They say “The eye is a window to the soul”, a sensation that enables us to experience the world around us in a colorful way like no other. Eye-sight and its preservation are an integral need in the chaos of everyday life. Regular ophthalmologic examinations lead to healthy eyes and a healthy body.

In our outpatient ophthalmology we have all the modern and up-to-date equipment needed for complete diagnostics and screening for eye diseases. With the help of a modern autokeratorefractometer, fast and precise determination of eye refraction as well as tears film quality is achieved.

In just a few seconds, using a non-contact tonometer, the eye pressure is measured. An examination of the eye fundus is a reflection of the health of the body and can reveal diseases that engulf your body. Our team is always ready to cooperate and answer all your questions


D-r Vanco D. Bikovski, ophthalmologist
General ophthalmological examination
Fluorescein dye
Tear ducts rinsing in adults
Shrimer test
Extraction of foreign body from conjunctiva and cornea and dressing
Examination of fundus in a dilated pupil
Refraction defining in adults
Solving of refraction anomalies and disturbancies of motality in school children to the age of 14


The dermatological ambulatory in Re-Medika provides both a professional expeditious and efficient service for the whole family in a friendly atmosphere.
Our outpatient practice opens the doors for a variety of skin conditions, a support how to deal with skin problems in everyday life. Here you can find answers to a number of your questions about skin changes.


  • Skin, hair and nails diseases
  • Allergy tests
  • Dermatoscopy
  • Skin biopsy
  • Sexually transmited diseases
  • Varicology
  • Criosurgery
  • Removal of skin changes


  • Chemical peeling
  • Expanded capillaries
  • Botox
  • Hyaluronic acid
  • Scar treatment
  • Rejuvenation
  • Pigmentation


The skin as a tissue and as a organ reveals its complexity day by day, in fact it is a true biosensor and reflects our individuality in the social environment.
Dermatology is a branch of medicine that deals with the study and treatment of skin diseases and visible mucous membranes.


Prim. Lidija Biserkoska Atanasovska MD, dermatovenerologist and Natasa Teovska Mitrevska MD, dermatovenerologist
Dermatologic examinations
Allergy examinations
Epicutaneous (Patch) tests
Intradermal testing (SKIN-PRICK inhaler)
Intradermal testing (SKIN-PRICK nutritive)
Medicaments tests –SCRACH
Dermatological control examination.
Dermatologic consultative examinations
Electro cauterization
Skin biopsy
Additional charge for pathological analyses from scin biopsy
Micological sample
Sclerosing therapy (1 ampoule)
Chemical pilling – superficial
Chemical pilling – medium
Chemical pilling – deep
Treatment of molusca
Botulinum toxin for hyperhidrosis – Dysport
Laser procedures – single hemangioma
Laser procedures – 3-5- hemangioma
Laser procedures – 6-10 hemangioma
Teleangiectasias – Nostrils
Teleangiectasias – Entire Nose
Teleangiectasias – Cheek one side
Teleangiectasias – Entire face
Single Blood vessels on legs (2 on count)
Numerous blood vessels on limbs
Entire legs with sub-skin veins 5x5cm
Cryotherapy – Veruccae, Clavus
Administration of Restylane (Perlane) 1 ml
Mesotherapy for hair loss
Mesotherapy for face
Mesotherapy for body
Phototherapy (UVB) (one month treatment)
Dermatoscopy of single change
Laser epilation of the upper lip
Laser epilation of chin
Laser epilation of private parts
Laser epilation of armpits (single session)
Entire face laser epilation (single session)
Laser epilation of the navel
Laser treatment of spots (sun, face)
Laser treatment of acne (one session)
Laser treatment of cicatrix
Piano entire face tightening – single treatment
Piano entire face tightening – two treatment
Piano tightening of the lower part of the face – single treatment
Piano tightening of the lower part of the face – two treatments
Piano tightening of the lower part of the face – single treatment
Piano tightening of the lower part of the face – two treatments
Photo rejuvenation – two treatments
CO2 laser rejuvenation – single treatment
CO2 laser rejuvenation – three treatments


The biochemical laboratory provides complete laboratory service for the needs of Re-Medika Hospital and other external entities.
Monitoring of vital organ functions is performed through a wide range of general and specific laboratory analyzes. Blood sampling is performed in closed systems, in Sarstedt monovetts.

Our laboratory produces a complete blood count, a 3-differential on hematology analyzer Medonic M, Boule Medical AB, Sweden and Sysmex XS-1000i, Japan.
The laboratory also performs complete urine examination: urinalysis and urine sediment under a microscope.

The early pregnancy test is made from blood or morning urine.

Coagulation factors (fibrinogen, prothrombin time-PT, activated partial thromboplastin time-APTT) are produced on the HumaClot Duo Plus coagulometer. They are indispensable parameters in pre-surgery preparation.

Biochemical analysis: Glucose, urea, creatinine, serum iron, cholesterol, triglycerides, total protein, albumin, transaminases, alkaline phosphatase, rheumatoid factor, electrolytes, uric acid, glycosylated hemoglobin are some of the analyzes that are made in our laboratory. For this purpose we use the COBAS Integra 400 plus, biochemical automated analyser, of Roche Diagnostics.

Gases analysis, electrolytes, hemoglobin, hematocrit and glycemy as part of the surgery and post-surgery process are made on the pHOx plus L intensive care analyzer of Nova Biomedical.

Endocrinological parameters / Reproductive hormones: Estradiol, LH, FSH, Prolactin, Progesteron; thyroid hormones: TSH, T4, fT4, T3, fT3; tumor markers: CEA, Ca 125, Ca 19-9, Ca 15-3, AFP, PSA; are made on the IMMULITE 1000 analyzer of Siemens.

Our laboratory performs complete analysis or systematic checkups – individual and organized, as well as immigrant visa analysis (USA).

For the preparation of more specific biochemical analyzes, the biochemical laboratory has concluded cooperation agreement with other prominent laboratories in the country and abroad.

The laboratory team is highly educated and certified to work with sophisticated laboratory equipment.


Complete Blood Count
Urine Sediment
Blood Glucose Level
Sedimentation/ Erythrocyte Sedimentation Rate- ESR
OGTT (Oral Glucose Tolerance Test)
Pregnancy Test
Total Cholesterol
HDL – High-Density Lipoproteins
LDL – Low-Density Lipoproteins
Uric Acid
Total Bilirubin
Direct Bilirubin
Indirect Bilirubin
CK – Creatinine Kinase
CK MB – Creatinine Kinase MB
Acid Phosphatase
Mg Magnesium
Ca Calcium
P Phosphorus
Alkaline Phosphatase
LDH (Lactate dehydrogenase)
α – Amylase
GGT (γ-glutamyl transferase)
Electrolyte Status (K; Na; Cl) – Complete Analysis
Serum Iron (Fe)
Bleeding time
APTT (Activated Partial Thromboplastin Time)
PTV – Prothrombin Time (Quick)
Total Proteins
Albumin G
CRP (C-Reactive Protein)
AST/ASLO – Anti-streptolysin titer
RF – Rheumatoid Factor
HbA1c – Glycated Hemoglobin
Blood Gas Analysis
Е2 – Estradiol
FSH – Follicle Stimulating Hormone
LH – Luteinizing Hormone
HCG – Human chorionic gonadotropin
TSH (Thyroid-Stimulating Hormone)
Total T4
Total T3
Infective Analysis
Anti Helicobacter Pylori
HbS Ag (skreening)
HCV – Hepatitis C (skrining)
HAV – Hepatitis A
HIV 0/1/2 Infectious Screening
Tumor Markers
CA 125
CA 15-3
CA 19-9
CA 72-4
Allergy testing –panel
Taking material (blood)
ATPO (Thyroid peroxidase antibody)
 TG (Thyroglobulin)
Serum medications
Creatinine in urine
Creatinine in 24h urine
Creatinine clearance
Occult bleeding
Free T4 (Thyroxine)
Free T3 (triiodothyronine)
Adrenocorticotropic hormone
Dehydroepiandrosterone sulfate
AFP (Alpha-fetoprotein)
Infective screening
Drugs in the urine – opiates
Drugs in the urine – amphetamines
Drugs in the urine – cannabinoids (THC)
Drugs in the urine – cocaine
COOMBS test – single
17 OH-Progesteron
Vitamin D (25-OH)
24 hour Proteinuria
Anti HBC
Antiphospholipid antibodies AFA (IGA; IGM; IGG)
Parathormon (PTH)
Ionized C++
IgE – total
Ethanol in serum


Antiendomisium lgA
Vitamin D1
Lactose intolerance (Lactose test)
Helicobacter pylori (Western Blot)
Lactose TT
Concrements in urine
Chromosome abnormalities
Y microdeletion
Hepatitis B (HBV-PCR)
Hepatitis C (HCV-PCR)
Anti Mulerian Hormon
Antisperm antibodies
Antiovarian antibodies
Zn/ Zink
ANA-Antinuclear antibodies
Hbe Ag
anti Hbe



The infection results from the penetration of pathogenic microorganisms into the human body.
Within own hospital,” Re-Medika” has opened a microbiological laboratory in which it is possible to perform microbiological analyzes of material obtained from all anatomical systems, starting from the respiratory, urogenital, digestive and all others. In addition to the classical microbiological methods, this laboratory uses the most modern diagnostic methods with automated apparatus, which gives precise results in shorter time frame.
Microbiological Laboratory of PHI Re-Medika directly participates in the diagnosics, monitoring and prevention of intra-hospital infections and the emergence of resistance to certain antibiotics (VITEK 2 Compact 15, BioMerieux, France).

The team at the Microbiology Laboratory is highly educated and certified to work with sophisticated laboratory equipment and is constantly following the latest trends in clinical microbiology.

Ass. Prof. Snezana Ivic-Kolevska
Specialist – microbiologist


  • Throat and nose swabs
  • Mouth swabs (buccal mucosa, tongue)
  • Sputum
  • Tracheal and bronchial aspirate
  • Conjunctival swab and
  • Swab from outer ear canal
  • Strep A test – rapid test for the presence of Streptococcus pyogenes group A in the throat
  • Influenza A / B test – a quick test to check for the presence of the flu virus


In women:

  • Urine
  • Swab from the vulva, vaginal and cervical swab for general bacteriological analysis (examination of the presence of bacteria and yeasts in the mentioned gynecological specimens)
  • Determination of the presence of chlamydia, mycoplasmas and ureoplasms and Trichomonas vaginalis in appropriate gynecological materials
  • During pregnancy determination of the presence of Listeria and group B beta haemolytic streptococcus

In men:

  • Determination of the presence of bacteria and yeast in the urine, semen
  • Swab from preputium
  • Swab from glans
  • Urethra and prostate material
  • Determination of the presence of chlamydia, mycoplasmas and ureoplasms in appropriate gynecological materials


  • Swab from the rectum
  • Feces for coproculture (examination of the presence of all enteropathogenic bacteria, as well as Clostridium difficile)
  • Candida in feces
  • Perianal and cellophane swab
  • Feces for parasites
  • Absence or presence of blood in the feces
  • Determination of presence of Helicobacter pylori in the stool (sign of acute infection caused by this bacteria)
  • Presence or absence of toxin A, toxin B and GDH of Clostridium difficile in the stool

    • Swab from skin, acne, pustules
    • Wound swab, puncture, aspirate or necrotic tissue from the wound, pus
    • Joint or synovial fluid
    • Pericardial, pleural or peritoneal fluid and liquor


    • Nail
    • Squama
    • Fiber


    • Hepatitis A, B, C
    • AIDS
    • TORCH – toxoplasmosis IgG, IgM and AVIDITY, rubella IgG and IgM, cytomegalovirus IgG, IgM and AVIDITY II, Epstein-Barr virus, varicella zoster
    • Rota and adeno viruses
    • Helicobacter pylori IgG and
    • Clostridium difficile toxin

    Immunological tests are performed on the apparatus VIDAS, BioMerieux, France.


    In hospitalized patients, , if necessary, a bacteriological analysis of a hemoculture with an automated apparatus for rapid detection of the presence of bacteria in the blood by BacT / Alert 3D, BioMerieux, France.


    • VITEK 2 Compact 15 apparatus for rapid detection and identification of the bacteria and fungi present in the test specimens
    • Bact/Alert 3D – for accurately detecting the presence of bacteria and fungi in the blood by suppressing the presence of the antibiotic previously given in the patient’s therapy
    • VIDAS – apparatus for determining the immunological analysis



    Preparing patients for a microbiological examination is of particular importance, as it may significantly affect the results of the examination. All samples should be taken before starting antibiotic therapy or several days (at least 48h) after discontinuation.

    Pharynx (throat) swab should be taken in the morning before brushing your teeth or taking food and water. If it must be taken during the day, it should take at least 2h since the last intake of food and drink.

    Nasal swab should be taken before antibiotic therapy and at least 3 – 4 hours after the last nasal flushing. It would be best for a microbiological examination to collect secretions from the nose, especially if it is dense and colored, as it speaks in favor of a bacterial infection, unlike the translucent and watery secretions that usually follow the virus infection.

    During throat and nasal swabbing of children, parents should held the child in their lap, with one hand placed over child’s two hands, and the other hand placed on child’s forehead, allowing the professional to take swabs.

    The coughed-up material (sputum) for microbiological analysis is best taken in the morning, before eating or rinsing your mouth with disinfectants and of course, before starting antibiotic therapy. The mouth is first rinsed with plain water, which spits and then the patient coughs as deep as possible in a sterile container. In parallel with sputum analysis, oral cavity swab should also be performed.

    Conjunctival swab for bacteriological analysis is best to be taken in the morning before a morning washing with a damped swab in a sterile physiological solution with movements from laterally to medially along the inner side of the lower eye-lid.

    Likewise, conjunctival swab for a chlamydia test is taken taken in the morning before a morning washing with a dry swab with more aggressive movements from lateral to medial inward side of the lower eye-lid, to obtain an epithelial layer of the lid to isolate the chlamydia found in the eye-lid.

    Urine culture is the most common analysis in microbiology. Preparation for giving urine for urine culture is particularly important for women and young children. It is necessary to wash the external genitalia with lukewarm water and soap, so that the jet goes from front to back. Then dry the skin without applying any creams. Preparation for giving urine for urine culture in men also involves washing the genitals with lukewarm water and soap. Particular attention should be paid to children in order to return the skin to the preputium and then to wash it. Since the first urine stream virtually flushes out the bacteria from the skin and the bacterial flora from the urethra, in the sterile container include only the middle stream, enough to fill a glass to one third of its volume. Considering children it is also preferable to provide the conditions to be able to urinate directly into a sterile container, but if that is not possible, it is necessary to wash the external genitalia, then to put bag and control when the child urinated. The bag should be applied for maximum 15 minutes. If in that time period the child doesn’t urinates, , the bag should be replaced with a new one. When the child urinates in the bag, if it is possible at all in home conditions, the urine should be transferred in sterile container designated for urine culture and submit it to the microbiological laboratory for analysis as soon as possible (2 hours).

    It is best to take a urine sample in the morning in manner so that the patient does not urinate during the night before giving urine. Since urine is a good nutrient base for bacterial growth, it should be delivered to the laboratory as soon as possible or stored in a refrigerator until taken to the laboratory. If genital hygiene is poorly performed or if the urine has been stored at room temperature for a long time, in the culture, a large number of mixed bacteria from the skin, vaginal or intestinal flora will appear. If the patient has urinated multiple times during the night and if no more than 4 hours have elapsed since the last urination, the number of isolated bacteria in the urine may be lower than the real one or if it is a small number of bacteria they might not be isolated.

    To examine the presence of chlamydia, mycoplasma or ureaplasma in the urine, it is necessary to give the first jet (the first morning jet) which usually collects the epithelial cells of the urethra in which these microorganisms are found. This especially applies for men, as cervical swabs are used to isolate these microorganisms in women.

    If urethritis is suspected to be caused by bacteria, chlamydia, mycoplasma or ureaplasma, urethral swab is taken in the morning before urination, and if this is not possible then at any time of the day, but in such a manner that between last urination and taking the swabs pass at least 2 hours.

    Vaginal and cervical swabs – The patient should not have sexual intercourse 24 hours before taking the swabs. These swabs are taken by an competent professional (gynaecologist).

    Sperm analysis requires an abstinence of 3 to 5 days. The sperm sample is given in a laboratory or taken to a laboratory in special transport containers at 37 ° C within 20 minutes.

    For sperm culture the patient should urinate before giving a sample of sperm.

    Due to the traceability and accuracy of interpretation of the findings, it is the most appropriate to take them, simultaneously for microbiological analysis, urine, and sperm culture.

    It is best to take a swab from the wound before and after the dressing (surgical treatment of the wound), in order to obtain the scale of the existing infection.

    Material feces for bacteriological testing is delivered to a microbiological laboratory in a sterile container for a shorter period of time, not longer than two hours. If this time limit material cannot reach the laboratory, the feces sample should be transported in refrigerator.

    Perianal – cellophane swab – Washing is made at night before bedtime. The material is taken in the morning, after waking, before washing and urinating with a 5-7 cm transparent, adhesive tape, which is carefully glued to the anal folds and then glued to the smear glass without touching the edges and without air bubbles. The same procedure is desirable to repeat three consecutive mornings and brought to the laboratory as three different samples.

    The material that arrives at the PHI Re-Medika’s Microbiological Laboratory is planted immediately upon admission to the laboratory, giving a precise picture of our patients’ real health status. Such a work organization reduces the possibility of drying out the swabs taken from the appropriate localization, increasing the number of bacteria in sterile excretions such as urine, puncture and many others.

    The professional team of microbiological laboratory is full-time basis available for advice and consultation with patients. Microbiological tests are not scheduled and can be performed at any time during the working day from 8:00 am to 9:00 pm or Saturday from 8:00 am to 1:00 pm in the case of outpatients.


    Respiratory samples

    • Throath swab
    • Nose swab
    • Throat swab + nose
    • Sputum
    • Throat swab + nose + sputum
    • Ear swab
    • Ears swab (left+right)
    • Throat swab + nose + ears (left+right)
    • Mouth or tongue swab
    • Mouth, tongue swab for Candida
    • Buccal mucosa swab
    • Eye swab (conjunctiva)
    • Eyes swabs (left+right)
    • Eye swabs for Chlamydia trachomatis
    • Eyes swabs (left+right) for Chlamydia trachomatis
    • Bacteriological eyes swabs + Chlamydia trachomatis
    • Bronchoaspirate
    • Tracheal Aspirate
    • Sputum for M. tb (Ziehl-Neelsen)
    • Sputum for M. tb according to Lowenstein
    • Taking swab from buccal mucosa
    • Strep A test

    Urogenital samples

    • Urine culture
    • Urine culture for Candida
    • Swab from the vulva
    • Vaginal swab
    • Cervical swab
    • Vaginal and cervical swab
    • Ureaplasma
    • Mycoplasma
    • Ureaplasma + Mycoplasma
    • GBS package swabs
    • Swab from the vagina for Listeria monocytogenes
    • Trichomonas vaginalis
    • Swab for Neisseria gonorrhoeae
    • Chlamydia trachomatis swab
    • Herples simplex ½ swab
    • Package swabs (genital swab for Chlamydia trachomatis + Ureaplasma + Mycoplasma)
    • Gynecological package MB (Vaginal swab + cervical swab + genital swab for Chlamydia trachomatis + Ureaplasma + Mycoplasma + urinoculture)
    • Sperm culture
    • Swab from urethra
    • Swab from prepucium
    • Swab from urethra and sperm culture
    • Andrological package (Swab for Chlamydia trachomatis, swab for Ureaplasma + Mycoplasma, Trichomonas vaginalis)
    • Urological package of swabs (swab from urethra, swab for Chlamydia trachomatis, sperm culture)
    • Urological package of swabs (swab from urethra, swab for Chlamydia trachomatis, swab for Ureaplasma + Mycoplasma)

    Samples from soft and deep tissues

    • Skin swab
    • Mycological examination of the specimen (skin, squama, hair, nail, wound)
    • Wound swab
    • Pus, secretion, excretion, puncture, operative material
    • Tip from arterial line

    Gastrointestinal samples

    • Coproculture
    • Coproculture (I, II, III)
    • Analysis of faeces for Clostridium difficile
    • Analysis of faeces for Clostridium difficile (I, II, III)
    • Clostridium difficile – toxin A and B in the stool
    • Clostridium difficile – GDH in the stool
    • Faeces for Candida
    • Faeces for Candida (I, II, III)
    • Faecal, rectal swab, bacteriol.
    • Faeces for parasites
    • Faeces for parasites (I, II, III)
    • Giardia lamblia
    • Giardia lamblia (I, II, III)
    • Perianal, cellophane / adhesive tape swab
    • Perianal, cellophane / adhesive tape swab (I, II, III)
    • Cellophane swab for Enterobius vermicularis
    • Package (coproculture, faeces for Candida, faeces for parasites)
    • Package (coproculture, faeces for Candida, faeces for parasites) (I, II, III)
    • Helicobacter pylori AG-stool
    • Rota/Adeno virus in stool

    Other microbiological analysis

    • Liquor
    • Tip of CVC
    • Tip of aspiration catheter
    • Hemoculture (pediatric)
    • Hemoculture (aerobic + anaerobic)
    • Hemoculture (SET I, II, III)
    • Hemoculture (SET I, II, III) Identification and antibiotic susceptibility
    • Gizma coloring, proving malaria
    • Pneumoslide

    Serological diagnostics

    • Rubella IgG/IgM
    • Toxoplasma IgG/IgM/Avidity
    • Influenza A/B
    • HSV 1,2 IgG/IgM
    • HSV 1 IgG/IgM
    • HSV 2 IgG/IgM
    • CMV IgG/IgM/Avidity
    • EBV IgG/IgM
    • TORCH (Toxoplasma gondii IgG/IgM, Rubella IgG/IgM, CMV IgG/IgM, HSV1,2 IgG/IgM)
    • Varicella IgG/IgM
    • Morbilli IgG/IgM
    • Chlamydia trachomatis IgG/IgA/IgM
    • Borrelia burgdorferi IgG/IgM
    • Echinoccosis granulosus antibodies (quantitative)
    • Treponema pallidum (Syphilis TPHA test)
    • Treponema pallidum (Syphilis RPR test)
    • Treponema pallidum (Syphilis VDRL test)
    • Brucellosis BAB test
    • Brucella IgG/IgM

    Molecular diagnostics

    • HPV – Human Papilloma Virus
    • Neisseria gonorrhoeae test material by PCR
    • Molecular Diagnonostics of Sepsis
    • Detection of respiratory pathogens by Real Time PCR


    Subspecialist examination and consultation
    Intra-articular instillation
    Epidural blockage (for single use)
    Subspecialist rheumatology examination-control
    Joint puncture


     Oncological consultation examination by Specialist


    MDCT – MLCT(multi-layer computed tomography) as a top diagnostic tool in early and timely detection of pathological conditions in the body.

    In our department, for the first time interventional diagnostic procedures are applied in the field of diagnostic mammography – digital mammography, cor biopsy, pre-surgery marking with wire, etc.

    The department has digital conventional Ro technology that maximally reduces radiation doses and enhances the diagnostic quality of Ro procedures. We use the most advanced PC workstations with application of cutting edge software solutions. The Department of Radiology employs 3 Specialist Radiologists and 3 Graduated Radiological Technologists.

    Prim. D-r Blagoja Daskalov, Head of Radiology Department – Spec. radiodiagnostician

    The department is organized into three completely independent work units.


    Дигитализиран РТГ систем, со компјутерска работна единица

    • РТГ систем за радиографија за општи намени
    • Безконтрасни и контрасни РТГ методи
    • Намалено зрачење и автоматизирана постапка на снимање
    • Револуционарна рентген технологија со дигитализација на слики,- најпрецизен РТГ метод на испитување, компјутерска анализа
    • Ртг на Остеоартикуларен систем
    • Ртг на Глава и ПНС
    • Ртг на Бели дробови и Срце
    • Ртг на Абдомен
    • Секундарна холангиографија
    • Ртг на Уринарен Тракт
    • Нативна Урографија
    • ИВ.Урографија
    • Микциона уретроцистографија
    • Ретроградна пиелографија
    • Цистографија

    “Panoramix “ графии на рбетниот столб и екстремитетите, единствен дигитализиран систем во РМ

    • Сколиози, кифози на ‘рбетот


    • Preparation of women for fertilization and In Vitro insemination

    • Diagnosis and pregnancy monitoring of women with diabetes

    • Polycystic ovaries

    • Treatment of dibetes

    • Diagnosis and prevention of diabetes

    • Determination of (BMI) and obesity prevention

    • Lipid disorder

    • Diagnosis of pituitary gland diseaseases

    • Treatment of thyroid diseases, thyroid nodes and cancer

    • Parathyroids Diagnosis, as well as Calcium Metabolic Disorders

    • Parathyroid Diagnosis, as well as Calcium Metabolic Disorders

    The Endocrinology Ambulatory is equipped with state-of-the-art technology in the fields of ultrasound, circulatory changes and diabetic polyneuropathy. Performs diagnostics, treatment and monitoring of endocrinology and metabolic disorders.

    Hormonal examinations are performed at the Diagnostical Laboratory in Re-Medika, and the results are received the same day, with the possibility of receiving immediate analysis and appropriate therapy.

    d-r Stefanka Ivanova, endocrinology specialist, works at the Ambulatory.а


    Endocrinologic examination and consultation
    Ultrasound examination of thyroid gland
    Package: Examination+Ultrasound exam of thyroid gland+TSH+T4
    Controll Endocriniologic examination


    The transfusion medicine specialist in daily practice participates in several segments related to the diagnosis and treatment of patients.

    • Consiliary consultancy activity for hospitalized patients during the period of preparation for surgical intervention and after the intervention.

    • Presurgery assessment of the risk of bleeding or thrombosis and their prevention and / or treatment
    • Ambulatory activity

    • • Indicating, interpreting and prescribing therapy to patients referred by a gynecologist for coagulation status assessment in the following conditions:

      а) female patients on hormonal therapy,

      б) female patients who are on the IVF program at all stages: preparation, monitoring of pregnancy to the end and after childbirth,

      в) monitoring and prescribing thromboprophylactic therapy in female patients undergoing caesarean section;

      г) monitoring and administration of thromboprophylaxis in all patients undergoing gynecological pathology.

      • Examination, indicating analyzes, interpretation of results obtained from the examination and treatment of patients with thrombotic diseases of the peripheral venous circulation (thrombophlebitis, deep vein thrombosis of the upper and lower limbs)

      • Prescribing of anticoagulant therapy in patients with post-infarction (cardiological, neurological)

      • Diagnosis and therapy in patients with haemorrhagic disorders (bleeding)

    • Laboratory activity

    Determining blood groups of all patients who are planed for surgery, pregnant and newborns of Rh (D) negative mothers.

    D-r Pavlina Gerasimova-Tikveshanska, Transfusion Medicine Specialist