Routine Lab Tests …for diagnosing CFIDS and FMS
Routine Lab Tests
Here are the commonly ordered lab tests by physicians today. All lab values have
a normal range. They can be high, low or normal. If you go in for a complete
physical exam, here is what you are likely to get:
CBC (complete blood count) The various cells in the blood are counted and
tabulated. White blood cells: There are five types. One type (neutrophils) are
elevated in bacterial infection. The count can otherwise be altered in leukemia
or rare blood diseases. White cells are part of the immune system. Red blood
cells: Carry oxygen to the cells. Low in anemia. Anemia is RARELY a cause of
fatigue. Hemoglobin: The stuff in the red cells that binds to oxygen. Low in
anemia, by definition. Hematocrit: A measure of total red cell volume. MCV, MCH,
MCHC are just various ratios of the above values. Platelet Count: Platelets form
a clot to seal off a wound from bleeding when it first occurs. Differential:
This is the percentage of the various types of white cells: lymphocytes,
mononuclears, neutrophils, eosinophils, and basophils.
Urinalysis: Albumin should be negative. The kidneys are supposed to retain all
types of proteins. Glucose and ketones should be negative. Present in diabetes.
White blood cells indicate some degree of bladder infection. Bilirubin should be
negative-present in liver and gall bladder disease.
Chemistry panels: Calcium, phosphorus, uric acid (elevated in gout),
cholesterol, triglycerides (fatty acids), protein (globulins), albumin,
albumin/globulin (A/G) ratio, (liver damage), bilirubin (total), bilirubin
(direct), (chronic liver damage), alkaline ptase (liver damage), AST or SGOT
(elevated in heart muscle damage), ALT or SGPT (elevated in acute liver cell
damage), LDH (elevated in liver cell damage), blood urea nitrogen (elevated in
kidney damage), sodium, potassium, chloride, bicarbonate, glucose (elevated in
diabetes), creatinine (elevated in kidney disease), CK (elevated in heart muscle
damage, iron (low in chronic blood loss).
Thyroid panel: TSH (thyroid stimulating hormone) (made in pituitary that tells
thyroid how much thyroid hormone to make), thyroid uptake, total thyroxine, free
thyroxine index.
The above tests should be run in chronic fatigue. They are inexpensive because
they can be done by automatic machines, and they rule out many diseases. They
are usually normal or near normal in chronic fatigue, however, and other tests
must be used to determine the cause of the fatigue.
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