Schizophrenia laboratory findings: Difference between revisions
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==Laboratory Findings== | ==Laboratory Findings== | ||
An [[Initial-stress-derived noun|initial]] assessment includes a comprehensive [[History and Physical examination|history]] and [[Physical culture|physical]] [[Physical examination|examination]] by a physician. Although there are no [[biological]] tests which confirm [[schizophrenia]], tests are carried out to exclude medical illnesses which may rarely present with psychotic schizophrenia-like symptoms. These include blood tests measuring [[Thyroid-stimulating hormone|TSH]] to exclude [[hypothyroidism|hypo-]] or [[hyperthyroidism]], [[Blood tests#Blood chemistry tests|basic electrolytes]] and serum [[calcium]] to rule out a metabolic disturbance, [[Complete blood count|full blood count]] including [[Erythrocyte sedimentation rate|ESR]] to rule out a systemic infection or chronic disease, and [[serology]] to exclude [[syphilis]] or [[HIV]] infection. Drugs of abuse should also be tested for with a | An [[Initial-stress-derived noun|initial]] assessment includes a comprehensive [[History and Physical examination|history]] and [[Physical culture|physical]] [[Physical examination|examination]] by a physician. Although there are no [[biological]] tests which confirm [[schizophrenia]], tests are carried out to exclude medical illnesses which may rarely present with psychotic schizophrenia-like symptoms. These include blood tests measuring [[Thyroid-stimulating hormone|TSH]] to exclude [[hypothyroidism|hypo-]] or [[hyperthyroidism]], [[Blood tests#Blood chemistry tests|basic electrolytes]] and serum [[calcium]] to rule out a metabolic disturbance, [[Complete blood count|full blood count]] including [[Erythrocyte sedimentation rate|ESR]] to rule out a systemic infection or chronic disease, and [[serology]] to exclude [[syphilis]] or [[HIV]] infection. [[Drugs]] of [[abuse]] should also be tested for with a urine drug screen, and further [[diagnostic]] workup is detailed [[Schzophrenia diagnostic studies|here]]. | ||
Investigations are not generally repeated for relapse unless there is a specific ''[[medical]]'' indication. These may include [[serum]] [[blood]] [[sugar]] level if [[olanzapine]] has previously been prescribed, [[liver]] function tests if [[chlorpromazine]] or [[CPK]] to exclude [[neuroleptic malignant syndrome]]. Assessment and [[Treatment-resistant depression|treatment]] are usually done on an [[outpatient]] basis; admission to an [[inpatient]] facility is considered if there is a [[Risk-benefit analysis|risk]] to self or others. | |||
==References== | ==References== | ||
Revision as of 16:32, 30 April 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Vindhya BellamKonda, M.B.B.S [2]
Overview
An initial assessment includes a comprehensive history and physical examination by a physician. Although there are no biological tests which confirm schizophrenia, tests are carried out to exclude medical illnesses which may rarely present with psychotic schizophrenia-like symptoms. These include blood tests measuring TSH to exclude hypo- or hyperthyroidism, basic electrolytes and serum calcium to rule out a metabolic disturbance, full blood count including ESR to rule out a systemic infection or chronic disease, and serology to exclude syphilis or HIV infection. Drugs of abuse should also be tested for with a urine drug screen, and further diagnostic workup is detailed here.
Laboratory Findings
An initial assessment includes a comprehensive history and physical examination by a physician. Although there are no biological tests which confirm schizophrenia, tests are carried out to exclude medical illnesses which may rarely present with psychotic schizophrenia-like symptoms. These include blood tests measuring TSH to exclude hypo- or hyperthyroidism, basic electrolytes and serum calcium to rule out a metabolic disturbance, full blood count including ESR to rule out a systemic infection or chronic disease, and serology to exclude syphilis or HIV infection. Drugs of abuse should also be tested for with a urine drug screen, and further diagnostic workup is detailed here.
Investigations are not generally repeated for relapse unless there is a specific medical indication. These may include serum blood sugar level if olanzapine has previously been prescribed, liver function tests if chlorpromazine or CPK to exclude neuroleptic malignant syndrome. Assessment and treatment are usually done on an outpatient basis; admission to an inpatient facility is considered if there is a risk to self or others.