Blood Testing

Anemia Screen

A hematocrit or a hemoglobin test can be used to detect anemia. These tests are part of a full blood count, which is usually done when the patient goes to the doctor for a yearly physical exam, or as part of the prenatal exams. A hematocrit is done every time someone gives blood. Infants and children are often screened for iron deficiency anemia as part of a routine “well-child” check-up.

Pediatric Anemia Screening

The American Academy of Pediatrics (AAP) suggests screening for anemia between the ages of 9 to 12 months with additional screening for at-risk patients from 1- 5 years old. Over the last 30 years, the American Academy of Pediatrics (AAP) has come out with recommendations of scheduled well-child visits for physical examination, screening, and prevention help. Screening for anemia was initiated to serve many purposes, 2 of which are: 1) to screen patients and detect nutritional iron deficiency and 2) to diagnose hemoglobinopathies and similar disorders. The AAP now recommends that hemoglobin (or hematocrit) be examined initially between the ages of 9 to 12 months. Additional screening between the ages of 1 and 5 years is suggested for patients at risk. The screening may be general or selective depending on the amount of iron deficiency anemia in the population. Youth with iron deficiency anemia in early childhood may have substantial and long-lasting adverse effects on development and behavior. (Lozoff B, Jimenez E, Hagen J, Mollen E, Wolf AW. Poorer behavioral and developmental outcome more than 10 years after treatment for iron deficiency in infancy. Pediatrics. 2000;105(4).

Creatinine Blood Test

A creatinine blood test determines the amount of creatinine in the blood. Creatinine is a waste product that is created when creatine is broken down. Creatine is a material found in muscle. Creatinine levels help measure how well the kidneys are working. The kidneys purpose is to eliminate creatinine from the body when urinating. When creatinine levels increase, the kidneys may stop functioning properly. Creatinine blood tests are usually done along with a few other laboratory tests, including BUN (blood urea nitrogen) and a metabolic panel (BMP or CMP). These tests are administered during normal physical exams to help diagnose many different diseases like diabetes, and to check for any problems with how the kidneys are working.

Types of test:

BUN/Creatinine  Panel

Creatinine Clearance Panel

Creatinine/Protein  Panel, Urine

Creatinine/Protein,  24hr urine

Diabetes Screen

Type 1 diabetes is most often diagnosed in one’s early youth, and was known before as juvenile diabetes. It is very uncommon; only 5% of those who suffer from diabetes have type 1. In type 1 diabetes, the body cannot produce insulin, which is an important hormone used to convert sugar, starches and other food into necessary energy. With the aid of insulin therapy and other treatments, almost everyone can learn to lead a normal life with the disease.

Type 2 Diabetes is a physical condition that causes blood sugar levels to rise higher than they should be. It is also known as hyperglycemia. Type 2 diabetes is the most common. If a person has type 2 diabetes their body does not use insulin correctly. This is called insulin resistance. At first, the pancreas makes extra insulin to account for the misuse. But after a time it isn’t able to keep producing so much insulin and can’t make enough to maintain the blood sugar at normal levels.

Epstein Barr Virus Screen

EBV is a contagious virus that extends from person to person and is found all throughout the world. The virus is made up of double-stranded DNA and multiplies itself in human lymphocytes (which are a type of white blood cell) and other cells, such as the cells found lining the tongue, mouth, and nose. The immune system usually contains the virus well enough, hindering and weakening but not eliminating the viruses. Several living viruses will stay around in a line of lymphocytes for the rest of the person’s life. This is commonly referred to as “latent” infection. Every once in a while, the virus may reactivate and start to multiply, but this doesn’t usually bring symptoms unless the person’s immune system is not functioning correctly.

Erectile Dysfunction Panel

Erectile dysfunction (ED) is when a man has difficulties maintaining an erection. Erectile Dysfunction can turn sexual intercourse into an impossibility unless it is treated. According to the Massachusetts Male Aging Study on sexual dysfunction, Erectile Dysfunction can start showing signs in a man as early as 40 years old. They have also discovered that an estimated 18 to 30 million men are affected by Erectile Dysfunction. Having an ED panel administered is a way to diagnosis ED.

Hormone Screen, Female

The Female Hormonal Health Screen is for all women that wish to monitor their hormone levels. This screen provides a summary of hormonal balance in both pre- and post-menopausal women, to observe sex steroid metabolism. This screening test offers pertinent information that will greatly benefit a woman throughout her entire life. Sex hormones are necessary for hair growth. An absence of some of these important hormones could lead to a deficiency of body hair in adults, but more threateningly an excess of steroidal hormones and/or a lack of antagonists to steroidal hormones can result in extreme and excessive body hair and/or the beginning of female pattern baldness. Due to these facts, a blood test to examine hormone levels is recomendable if a tentative diagnosis of androgen-induced hirsutism (excessive body hair) or androgenetic alopecia is made. This Hormone Screen is for any women that want to effectively maintain their health and live life to the fullest.

Hormone Screen, Male

The Male Hormone Screen is made up of tests that measure amounts of the Human Growth Hormone (HGH) and Total Testosterone. Unusual HGH results may be caused by malfunctions of the pituitary gland and usually get worse as men age. A Testosterone test measures the amount of male hormones in the blood. The levels of this hormone always begin to decrease after a man reaches 40 years, so all level results are age-adjusted. Lots of physicians have come to the conclusion that taking care of low testosterone and HGH levels are essential to slowing the aging process.

Health Screen, Female

Health Screen, Male

Hepatitis Panel

A viral hepatitis panel is used to find and diagnose liver infection and inflammation, which is usually the result of one of three most common hepatitis viruses: hepatitis A virus (HAV), hepatitis B virus (HBV), or hepatitis C virus (HCV).

There are several causes of hepatitis and its symptoms, so these tests are used to find out if symptoms are the result of a current infection with a virus and to determine which specific virus is causing the disease. These tests can also be used to diagnose the disease even before there are visible symptoms.

An acute viral hepatitis panel can be ordered when a patient has received abnormal results on routine blood tests or when a patient has symptoms associated with liver damage such as:

  • Fever, fatigue
  • Joint pain
  • Jaundice
  • Itching (pruritus)
  • Loss of appetite
  • Nausea, vomiting, abdominal pain
  • Dark urine and/or pale colored stool

Lyme Disease Panel

Lyme disease is a bacterial infection. Specific types of ticks carry the particular bacteria that causes Lyme disease.  Humans contract the bacterium when bitten by an infected tick. There are many animals that can carry these ticks; deer, horses, chipmunks, squirrels, mice weasels, moles, and foxes are but a few of the many forest animals that can carry these infested ticks. Ticks found on a dog are usually not infected with this particular bacteria. Lyme disease can be cured with antibiotics, but if nothing is done to take care of it, long-term damage to the heart, joints, and nervous system can result.  Lyme disease often carries symptoms similar to other diseases, such as the flu. Lyme disease can be determined by a routine blood screen.

A blood test for Lyme disease reveals the amount of antibodies in the blood.  These antibodies are made by the immune system whenever there is a bacterial infection. The only problem is that these antibodies may delay up to five weeks before appearing in the blood. Even when a Lyme disease blood test comes back as negative, most doctors will prescribe antibiotics just in case. Another test is usually performed a week later to see if the antibodies have developed. Some of these antibodies will remain in the blood for several years even after the bacteria is gone.

Microalbumin Panel

An albumin test examines urine for a protein called albumin. Albumin is usually found in the blood and is filtered by the kidneys. When the kidneys are functioning correctly, albumin will not be found in the urine; but when the kidneys are not working properly, small quantities of albumin leak into the urine. This is called albuminuria.

Albuminuria is usually the result of kidney damage from diabetes. But lots of other health problems can result in kidney damage, such as heart failure, cirrhosis, high blood pressure, or systemic lupus erythematosus (SLE). If kidney damage is not taken care of in its developing stages, dangerous amounts of albumin and protein may seep into the urine. When the kidneys leak protein, it could be a sign of serious kidney damage. This condition could result in chronic kidney disease. An albumin urine test can be done on most any normal urine sample (usually after the first time the patient urinates in the morning).

Obstetric Panel

An obstetric panel is made up of several laboratory tests usually done on a pregnant woman. The panel means drawing blood and checking a woman’s blood type, and also testing for the presence of antibodies that are destroying red blood cells. This series of blood tests can also diagnose sexually transmitted diseases and other infections that pose health threats to unborn infants, threaten the pregnancy altogether, or cause health problems in a newborn. An obstetric panel might include a test for syphilis and human immunodeficiency virus (HIV).

This group of blood tests is commonly employed both to confirm a pregnancy and to obtain the pregnant woman’s blood type. Additionally, an obstetric panel usually includes a test to measure the expectant mother’s blood count as well.

Osmolality Panel, Urine

The Osmolality Urine test monitors the body’s electrolyte balance and the kidney’s ability to concentrate urine. The Osmolality Urine test measures the number of dissolved particles such as sodium, chloride, glucose and urea in the urine and also issues in urine output. The Osmolality Urine test also is helpful with diagnosing kidney disease or renal failure. 

Rheumatoid Evaluation Panel

The diagnosis of rheumatologic diseases is based on clinical information, blood and sometimes histology. Blood tests are helpful with confirming clinically suspected diagnosis and watching the disease activity. The tests are mostly used as adjuncts to a comprehensive history and physical examination.

STD Panel

Chlamydia and Gonorrhea: The Chlamydia and Gonorrhea test checks patients for the presence of both sexually-transmitted diseases, detected by their particular bacterias, which are definitely the most common.

Hepatitis B: The Hepatitis B Surface Antigen test is useful in the differential diagnosis of Hepatitis B. It is the earliest indicator of the presence of acute infection, which is indicative of chronic infection, though patients who are negative for HBsAg may still have acute type B viral Hepatitis.

Hepatitis C: The Hepatitis C Antibody test determines the appearance of anti-HC in patients, and could indicate a reduced risk of infectivity. Hepatitis C is a bloodborne liver disease, where exposure to the blood of an infected person may result in infection.

Herpes Simplex Virus (HSV) Type I & II Antibodies, IgG : The Herpes Simplex Virus (HSV) Type I and II IgG test is used to determine the presence of Type 1 (HSV-1) and Type 2 (HSV-2) Herpes Simplex in a patient. Most Genital Herpes are caused by HSV-2.

HIV-(Human Immunodeficiency Virus, Preliminary Test With Confirmation): The HIV Antibodies test screens patients for the presence of HIV antibodies. It is appropriate for exposure at least 6 months prior to testing.

Syphilis (RPR), qualitative and Syphilis (RPR) titer and Treponema pallidum-specific test (TP-PA) on reactives: These Syphilis tests discover the presence of the Treponema pallidum bacterium, which is an indication of a Syphilis infection in a patient. 

Thyroid Panel

The most effective way to start testing thyroid function is to measure the TSH level in a blood sample. A high TSH level shows that the thyroid gland is failing because of a problem affecting the thyroid (primary hypothyroidism). The opposite situation, where the TSH level is low, most often suggests that the person has an overactive thyroid that is making an excessive amount of thyroid hormone (hyperthyroidism). Sometimes, a low TSH could be the result of an abnormality in the pituitary gland, which prevents it from creating enough TSH to stimulate the thyroid (secondary hypothyroidism). In most healthy individuals, a normal TSH value indicates that the thyroid is working properly.

Thyroid Profile

A Thyroid Profile blood test is a good idea for anyone that may have thyroid problems.  This blood test explains problems associated with fatigue, metabolism, and common feelings of poor health. The Thyroid Profile blood test also observes hormone levels for people taking thyroid supplements. 

Iron (TIBC) Profile

The Iron test measures how much iron is in the blood. The total iron-binding capacity (TIBC) test checks how productively the iron moves through the body. Iron is an essential mineral that the body requires to function properly. The body uses iron to produce hemoglobin, which is a protein in all red blood cells that delivers oxygen to all parts the body. If there isn’t enough iron, there may not be sufficient hemoglobin. This condition is known as iron deficiency anemia.

Iron in the body is bound to a protein created by the liver named transferrin. The TIBC test is focuses on certain proteins, including transferrin, found in the blood. The transferrin levels are usually measured with iron and TIBC. Patients may also require these particular tests if the doctor feels that there is a lack or excess of iron. A deficiency of iron in one’s diet is the most occurring cause of anemia and the most common type of diet deficiency in the U.S. A physician can prescribe this test to look at the diet, nutrition, liver, or other conditions that cause iron to be low, such as increased blood loss or pregnancy. 

Thyroid Profile Comprehensive

The Thyroid Profile Comprehensive test processes thyroid function, which is essential in maintaining the metabolism and the body’s “thermostat”. Doctors make use of the thyroid blood test to diagnose both hyper and hypothyroidism (over and underactive thyroid disease). Drastic changes from the safe range could result in continued medical evaluation. 

Testosterone Free&Total Panel

Testosterone is a masculine hormone that works to preserve bone density, fat distribution, muscle strength and mass, red blood cell production, sex drive and sperm production. Females produce it in much smaller quantities. Testosterone levels greatly increase in men after puberty and as men age, levels of testosterone always decrease by about 1% per year after a man reaches 30 years.

Total testosterone is the total amount of testosterone that is found in the blood and the testosterone that is tied to any serum protein. This test helps the patient understand the amount of testosterone in his blood.