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Fatigue Blood and Urine Test Panel

A Fatigue Blood and Urine Test Panel includes a Complete Metabolic Panel (CMP-14), Complete Blood Count with Differentials, Iron with Total Iron-Binding Capacity (TIBC), Thyroid-Stimulating Hormone (TSH), Sedimentation Rate, Westergren (SED), Urinalysis, Complete with Microscopic Examination.


Test Code: 577

CPT Code: See Individual Tests

Also Known As:

Methodology:

See Individual Tests

Specimen Type: Blood + Urine

Preparation:

Fasting for 12 hours required. Stop biotin consumption at least 72 hours prior to the collection.

Test Results:

1-2 days. May take longer based on weather, holiday or lab delays.

Sample Report

Test Code: 2252

CPT Code: See Individual Tests

Also Known As:

Methodology:

See Individual Tests

Specimen Type: Blood + Urine

Preparation:

Fasting for 12 hours required. Stop biotin consumption at least 72 hours prior to the collection.

Test Results:

1-2 days. May take longer based on weather, holiday or lab delays.

Description

Are you always tired? You may be suffering from fatigue.

 

Extreme, debilitating exhaustion is the hallmark of chronic fatigue syndrome (CFS). Those who have CFS sleep poorly and awake unrefreshed. They frequently have headaches, muscle and joint pain, sore throats, and problems concentrating and remembering things. The intensity and type of symptoms can vary from day to day. On a good day symptoms may be mild and someone with CFS may be able to function at a near normal level, but on a bad day they may be unable to get out of bed.

 

Fatigue Panel includes:

 

Comprehensive Metabolic Panel (CMP-14) with eGRF Blood Test

 

  • Glucose - Blood sugar level, the most direct test to screen for diabetes and also used in diabetes management.

 

  • Kidney Profile
    • Bun or Urea Nitrogen (BUN) - An indicator of kidney function.  
    • Creatinine, Serum - An indicator of kidney function.  
    • Bun/Creatinine Ratio - Calculated by dividing BUN by creatinine. This ratio can suggest conditions including dehydration or intestinal bleeding.
    • Estimated Glomerular Filtration Rate (eGFR) - Measures kidney function to determine kidney disease stage and detect early kidney damage.

 

  • Liver Panel
    • Protein, Total - Assists in determining liver and kidney function and nutritional health.
    • Albumin Serum - One of the major proteins essential for the healthy function of the liver and kidney. 
    • Globulin, Total - One of the major proteins that assist the blood to clot properly and also comprises infection-fighting antibodies. 
    • Albumin/Globulin Ratio - Calculated by dividing albumin by globulin. When paired with other test results, this ratio can assist in the diagnosis of a variety of liver problems. 
    • Bilirubin, Total - Aids in the detection of hepatitis, sickle cell, anemia, cirrhosis, alcohol, and drug abuse. High concentrations may result in jaundice.
    • Alkaline Phosphatase - A protein vital in detecting bone disorders and liver disease.
    • Aspartate Aminotransferase (AST or SGOT) - An enzyme helpful in evaluating liver function. An elevated level is an indication of hepatitis. 
    • Alanine Aminotransferase (ALT or SGPT) - An enzyme helpful in identifying liver damage. Abnormalities may represent liver disease.

 

  • Fluids & Electrolytes
    • Sodium - One of the major salts in body fluid. Sodium is important in water balance and the electrical activity of nerves and muscles.
    • Potassium - Helps to control the nerves and muscles.
    • Chloride - Similar to sodium, it helps to maintain the body's electrolyte balance.
    • Carbon Dioxide, Total - Used to help detect, evaluate, and monitor electrolyte imbalances.
    • Calcium - A mineral essential for the development and maintenance of healthy bones and teeth. It is also important for the normal function of muscles, nerves, and blood clotting.

 

Complete Blood Count (CBC) With Differential and Platelets

 

A CBC is a comprehensive screening test that can help diagnose a wide range of illnesses and diseases, including anemia, leukemia, bleeding disorders, and infections. The CBC provides the following information:

 

  • White Blood Cells (WBC) - The body's primary defense against disease and helps to fight infection.
  • Red Blood Cells (RBC) - Responsible for carrying oxygen to and carbon dioxide away from all cells. Iron deficiency will lower the RBC count.
  • Hemoglobin - A chemical compound inside red cells that transports oxygen through the bloodstream to all cells of the body. Hemoglobin gives the red color to blood.
  • Hematocrit - Measures the amount of space red blood cells take up in the blood. It is reported as a percentage.
  • Lymphocytes - This result, along with basophils, eosinophils, monocytes, and neutrophils, deal with white blood cell function.
  • Monocytes - This result, along with basophils, eosinophils, lymphocytes, and neutrophils, deal with white blood cell function. 
  • Neutrophils - This result, along with basophils, eosinophils, lymphocytes, and monocytes, deal with white blood cell function.
  • Mean Corpuscular Hemoglobin (MCH) - The average hemoglobin concentration within a red blood cell.
  • Mean Corpuscular Hemoglobin Concentration (MCHC) - The average hemoglobin concentration percentage within a red blood cell.
  • Mean Corpuscular Volume (MCV) - The average size of red blood cells.
  • Platelets - Blood cell particles associated with the forming of blood clots.
  • Red Cell Distribution Width (RDW) - Measures the amount of red blood cell variation in volume and size.

 

Iron and Total Iron-binding Capacity (TIBC)-test is used for testing differential diagnosis of anemia, evaluation of thalassemia and possible sideroblastic anemia, and the evaluation of iron poisoning. Specimen collection must be done before patient is given therapeutic iron or blood transfusion. Iron determinations on patients who have had blood transfusions should be delayed at least four days.

 

Thyroid-Stimulating Hormone (TSH)-is used to diagnose a thyroid disorder in someone with symptoms, screen newborns for an underactive thyroid, monitor thyroid replacement therapy in people with hypothyroidism, diagnose and monitor female infertility problems, help evaluate the function of the pituitary gland (occasionally), and screen adults for thyroid disorders, though expert opinions vary on the benefits of screening and at what age to begin.

 

Sedimentation Rate, Westergren (SED) - Erythrocyte sedimentation rate (ESR) is an easy, inexpensive, nonspecific test that has been used for many years to help diagnose conditions associated with acute and chronic inflammation, including infections, cancers, and autoimmune diseases. ESR is said to be nonspecific because increases do not tell the health provider exactly where the inflammation is or what is causing it, and also because it can be affected by conditions other than inflammation. Because it is nonspecific, ESR is typically used in conjunction with other tests. ESR aids in diagnosing two specific inflammatory diseases, polymyalgia rheumatica and temporal arteritism, a high ESR being one of the main test results used to support the diagnosis. The test is also used to monitor disease activity and response to therapy in both polymyalgia rheumatica and temporal arteritism.

 

Urinalysis, Complete with Microscopic Examination-Detects abnormalities of urine; diagnoses and manages renal diseases, urinary tract infection, urinary tract neoplasms, systemic diseases, and inflammatory or neoplastic diseases adjacent to the urinary tract.

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