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Arthritis Comprehensive Blood Test Panel, Women

The Arthritis Comprehensive Blood Test Panel for Women includes a C-Reactive Protein (CRP), Rheumatoid Arthritis (RA) Factor, Antinuclear Antibody(ANA), Sedimentation Rate, Uric Acid plus Wellness #2 Essential Panel that includes Complete Blood Count (CBC), Comprehensive Metabolic Panel (CMP-14), Lipid Panel with Total Cholesterol: HDL Ratio, Thyroid Panel plus TSH plus Cyclic Citrullinated Peptide (CCP) Antibodies, Creatine Kinase (CPK), Aldolase and Complement C3.

Sample Report

Test Code: 857

Also Known As:

Methodology: See Individual Tests

Preparation: Patient should be on a stable diet, ideally for two to three weeks prior to collection of blood, and should fast for 14 to 16 hours before collection of the specimen. Stop biotin consumption at least 72 hours prior to the collection. Avoid exercise prior to collection.

Test Results: 3-4 days. May take longer based on weather, holiday or lab delays.

Test Code: 2263

Also Known As:

Methodology: See Individual Tests

Preparation: Patient should be on a stable diet, ideally for two to three weeks prior to collection of blood, and should fast for 14 to 16 hours before collection of the specimen. Stop biotin consumption at least 72 hours prior to the collection. Avoid exercise prior to collection.

Test Results: 3-4 days. May take longer based on weather, holiday or lab delays.



C-Reactive Protein - Used as a test for infections, inflammatory diseases, and neoplastic diseases. CRP is a more sensitive, rapidly responding indicator than ESR. CRP may be used to detect early postoperative wound infection and to follow therapeutic response to anti-inflammatory agents. Progressive increases correlate with increases of inflammation/injury.

Rheumatoid Factor- The test for (RA) rheumatoid factor is used to help diagnose rheumatoid arthritis. The test may also be used to help diagnose an arthritis-related condition, Sjogren's syndrome. About 80% to 90% of patients with this syndrome have high amounts of RA in their blood.

ANA-Antinuclear Antibodies, is used to help diagnose systemic lupus erythematosus (SLE) and drug-induced lupus, but may also be positive in cases of scleroderma, Sjogren's syndrome, Reynaud's disease, juvenile chronic arthritis, rheumatoid arthritis, antiphospholipid antibody syndrome, autoimmune hepatitis, and many other autoimmune and non-autoimmune diseases. For this reason, SLE, which is commonly known as lupus, can be tricky to diagnose correctly. Because the ANA test result may be positive in a number of these other diseases, additional testing can help to establish a diagnosis of SLE. Your doctor may run other tests that are considered subsets of the general ANA test and that are used in conjunction with patient symptoms and clinical history to rule out a diagnosis of other autoimmune diseases.

Sedimentation Rate- Blood test used to screen for inflammation, cancer, and infection. A high sedimentation rate is found in wide varieties of inflammatory, infectious, and malignant diseases - the presence of an abnormality which needs further evaluation.

Plus, Wellness #2 Essential Panel is a detailed assessment of overall health and contains 55 separate laboratory tests including:
Comprehensive Metabolic Panel (14 tests) Includes:

Blood sugar level, the most direct test to discover diabetes, may be used not only to identify diabetes, but also to evaluate how one controls the disease.

Uric Acid-
The blood uric acid test measures the amount of uric acid in a blood sample. Uric acid is produced from the natural breakdown of your body's cells and from the foods you eat.

Fluids & Electrolytes

Sodium One of the major salts in the body fluid, sodium is important in the body's 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.

Lipid Panel With Total Cholesterol:HDL Ratio
Cholesterol, Total A sterol in the blood. Knowing your cholesterol level may be as important as knowing your blood pressure. Elevated cholesterol levels are associated with an increasing risk of coronary heart disease.
Triglycerides Triglycerides are fat in the blood that are responsible for providing energy to the cells of the body. Triglycerides should be less than 400 mg/dl even while in a non-fasting state. 
HDL Cholesterol High-density lipoproteins are believed to take cholesterol away from cells and transport it back to the liver for removal or processing. They are known as the "good" cholesterol as people with high levels of HDL may have less heart disease. Low HDL could be the result of lack of exercise and smoking.
LDL Cholesterol Low-density lipoproteins contain the largest percentage of cholesterol and may be responsible for depositing cholesterol on the artery walls. They are known as the "bad" cholesterol. T
Total Cholesterol/HDL Ratio
calculated by dividing the total cholesterol by the HDL cholesterol. This is the ratio used by physicians in determining your relative risk for developing cardiovascular disease.

Thyroid Panel with Thyroid-Stimulating Hormone (TSH) - Thyroid function is critical to your metabolism and affects your energy level, weight control, heart rate, and more. The thyroid-stimulating hormone is produced in the pituitary gland and stimulates the production of thyroid hormones. The TSH helps to identify an overactive or underachieve thyroid state. This comprehensive evaluation of your thyroid hormone levels includes: T-3 Uptake, T4, T7, and Thyroid-Stimulating Hormone (TSH)

Complete Blood Count (CBC) With Differential and Platelets:
  A complete blood count (CBC) will give important information about the kinds and numbers of cells in the blood, especially red blood cells, white blood cells, and platelets. A CBC helps your health professional check any symptoms, such as fatigue, weakness, or bruising, that you may have. A CBC also helps diagnose conditions such as anemia, infection, and many other disorders.

Mineral and Bone
Total Iron, Calcium, and Phosphorus

Cyclic Citrullinated Peptide (CCP) Antibodies, IgG/IgA, ELISA - The presence of CCP antibodies, when considered in conjunction with other laboratory and clinical findings, is an aid in the diagnosis of rheumatoid arthritis (RA). Approximately 70% of RA patients are positive for anti-CCP IgG, while only 2% of random blood donors and control subjects are positive. 

Creatine Kinase (CPK) is an enzyme found in the brain, heart, skeletal muscle, and other tissues. Enzymes such as creatine kinase are proteins that help cells to perform their normal functions. In heart and muscle cells, most of this energy is used when muscles contract. There are three different forms of CK in your body, referred to as isoenzymes:CK-MB (found mostly in your heart); CK-MM (found in your skeletal muscles and heart); CK-BB (found mostly in your brain). The small amount of CK normally in the blood comes mainly from the muscles. The CK in the brain almost never gets into the blood.

Aldolase evaluates muscle wasting process. High levels are found in progressive Duchenne muscular dystrophy (MD). Elevations occur in carriers of MD, in limb-girdle dystrophy and other dystrophies, in dermatomyositis, polymyositis, and trichinosis, but not in neurogenic atrophies (eg, multiple sclerosis or in myasthenia gravis). As muscle mass diminishes, aldolase decreases. Serum aldolase elevation is not specific for muscle disease since it is present in many tissues. In the progressive dystrophies, aldolase levels may be 10 to 15 times normal when muscle mass is relatively intact, as in early stages of the disease. When advanced muscle wasting is present, values decline. In the inflammatory myopathies (eg, dermatomyositis) serum aldolase (as well as CK) levels may be applied to monitoring the response to steroid therapy. They are of particular value in guiding tapering of steroid administration. No elevation is found in muscular dystrophy secondary to alteration of the nerves or nerve centers.

Complement C3 - Used to determine whether deficiencies or abnormalities in the proteins that are part of the complement system are contributing to increased infections or increased autoimmune activity; and to monitor the activity of autoimmune diseases. The Complements are tested when you have recurrent microbial (usually bacterial) infections, unexplained inflammation or edema, or symptoms related to an autoimmune disorder; and to help monitor an acute or chronic condition that affects the complement system. Increased and decreased complement levels will not tell your health professional what is wrong, but they will give him an indication whether or not the immune system is involved with your condition. Complement levels can be increased with inflammation, rising before other markers such as the C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR).

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