Ulcerative colitis laboratory findings: Difference between revisions
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The initial [[diagnosis|diagnostic]] workup for ulcerative colitis includes the following:<ref>Al-Ataie MB, Shinoy VN. eMedicine: Ulcerative colitis. [http://www.emedicine.com/med/topic2336.htm Fulltext].</ref><ref name=ACGGuideline>Ulcerative Colitis Practice Guidelines in Adults, Am. Coll. Gastroenterology, 2004. [http://www.acg.gi.org/physicians/guidelines/UlcerativeColitisUpdate.pdf PDF]</ref> | The initial [[diagnosis|diagnostic]] workup for ulcerative colitis includes the following:<ref>Al-Ataie MB, Shinoy VN. eMedicine: Ulcerative colitis. [http://www.emedicine.com/med/topic2336.htm Fulltext].</ref><ref name=ACGGuideline>Ulcerative Colitis Practice Guidelines in Adults, Am. Coll. Gastroenterology, 2004. [http://www.acg.gi.org/physicians/guidelines/UlcerativeColitisUpdate.pdf PDF]</ref> | ||
* A [[complete blood count]] is done to check for anemia; [[thrombocytosis]], a high [[platelet]] count, is occasionally seen | * A [[complete blood count]] is done to check for anemia; [[thrombocytosis]], a high [[platelet]] count, is occasionally seen. | ||
* [[Electrolyte]] studies and [[renal function|renal function tests]] are done, as chronic [[diarrhea]] may be associated with [[hypokalemia]], [[hypomagnesemia]] and pre-renal failure. | * [[Electrolyte]] studies and [[renal function|renal function tests]] are done, as chronic [[diarrhea]] may be associated with [[hypokalemia]], [[hypomagnesemia]] and pre-renal failure. | ||
* [[Liver function tests]] are performed to screen for bile duct involvement: [[primary sclerosing cholangitis]]. | * [[Liver function tests]] are performed to screen for bile duct involvement: [[primary sclerosing cholangitis]]. | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Laboratory Findings
The initial diagnostic workup for ulcerative colitis includes the following:[1][2]
- A complete blood count is done to check for anemia; thrombocytosis, a high platelet count, is occasionally seen.
- Electrolyte studies and renal function tests are done, as chronic diarrhea may be associated with hypokalemia, hypomagnesemia and pre-renal failure.
- Liver function tests are performed to screen for bile duct involvement: primary sclerosing cholangitis.
- X-ray
- Urinalysis
- Stool culture, to rule out parasites and infectious causes.
- Erythrocyte sedimentation rate can be measured, with an elevated sedimentation rate indicating that an inflammatory process is present.
- C-reactive protein can be measured, with an elevated level being another indication of inflammation.
Although ulcerative colitis is a disease of unknown causation, inquiry should be made as to unusual factors believed to trigger the disease.[2] Factors may include: recent cessation of tobacco smoking; recent administration of large doses of iron or vitamin B6; hydrogen peroxide in enemas or other procedures.
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