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Following your first or subsequent visit to the surgeon, you may be
asked for a
blood test, below are a few common tests prescribed by your surgeon.
Some of the more common blood tests are...
FBC. Full Blood Count The haemoglobin level
is checked and the different blood
cells are looked at in detail under the microscope. Various forms of
anaemia are
picked up as are viral infections like glandular fever. People on some
medications
require regular FBE's.
UEC's. Urea Electrolytes and Creatinine.
This test is a measure of kidney function.
We see an elevated serum urea or creatinine with dehydration or if the
kidney
function is impaired. The electrolytes are the various salts in the
bloodstream...
things like sodium, potassium, chloride and bicarbonate. The potassium
level
is of particular importance in people on diuretics or fluid tablets.
Frequently
the level falls in these patients and oral potassium supplements are
required.
Calcium in blood may be assessed to determine the
LFT's. Liver function tests. The levels of
several liver enzymes rise markedly
when the liver is damaged by infections like hepatitis, or by toxins like
alcohol
and certain drugs. Likewise, in a jaundiced patient where bile secretion
from the
liver is blocked, an elevated bilirubin level is seen. We also measure
the protein
and albumin levels; with chronic illnesses the albumin tends to gradually
fall to
quite low levels.
Click here to open a fact sheet from Hepatitis C Council of NSW on
Liver Function
Tests.
Cholesterol, triglyceride and other blood lipid
levels. There is now no doubt at
all that a high blood cholesterol level is an important risk factor for
coronary
artery disease. HDL-cholesterol seems to be protective and we like to see
a
higher level of this lipid. LDL-cholesterol appears a major factor in the
development of coronary artery disease and we like to see a low level.
Various ratios of HDL, LDL and total cholesterol are also used and may
be more accurate predictors of coronary artery disease. Recent research
suggests that an elevated triglyceride level is also significant and has
to be
taken into account.
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