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					Laboratory tests · Diagnostics                                                                                   C 06


 Laboratory tests are among the basic medical examination procedures. They are used to obtain an overview
 of red and white blood cell counts and status, electrolyte balance, coagulation values, hepatic and pancreatic




                                                                                                                        Spine Surgery Information Portal · Prof. Dr. Jürgen Harms · www.harms-spinesurgery.com
 parameters,	renal	retention	and	many	other	specific	biochemical	data	concerning	our	organic	systems.
 The contribution of laboratory results to spinal column disease diagnostics is comparatively minor, since altered
 laboratory	parameters	usually	do	not	constitute	final	diagnostic	confirmation	of	a	given	spinal	column	disease.
 For	example,	raised	inflammatory	parameters	in	the	blood	may	be	an	indication	of	an	inflammatory	condition	in	
 the spinal column if accompanied by the corresponding clinical symptoms. On the other hand, these parameters
 may also be raised by a number of other infections.

 Blood and urine tests

 ·	Blood	sedimentation	rate,	C-reactive	protein	and	leukocytes	may	be	raised	in	the	presence	of	inflammatory
   processes.
 · Levels of calcium, alkaline phosphatase, phosphate, vitamin D, estrogen and testosterone are indicators for
   aspects of bone metabolism.
 · Raised tumor marker levels may indicate the presence of a tumorous disease.

 Liquor analysis
 Liquor	(cerebrospinal	fluid,	CSF),	obtained	by	puncturing	the	subarachnoid	space,	may	contain	evidence	of	
 various	diseases,	e.g.	inflammatory	processes.




           Prof. Dr. med. Jürgen Harms · Klinikum Karlsbad-Langensteinbach · Guttmannstraße 1 · 76307 Karlsbad
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