For the adolescents, we use as a basis the tests of the Basic Check up Screening Panel ,as described herebelow :
Test / Analyte Description / Detects - Measures
Complete Blood Count - Measurement Hematocrit, Red -White Blood Cells - Platelets and Morphology
Detects Anaemias, Infections - Bone marrow disorders.
Indications of chronic deseases
Erythrocyte Sedimentation Rate Chronic Inflammations - infections
CRP-hs Accute Inflammations - infections.
Cardiovascular risk factor
Urea Renal function
Creatininine Renal function
Uric Acid Arthritis
Total Cholesterol Cardiovascular Risk Factors
Cholesterol Dietary intake
Drug therapy assessment
Liver Enzyme γ-GT Liver function test
Hepatitis B/C - drug -alcohol induced - fatty liver - cancer etc
Liver enzymes ALT & AST
Urine Bladder health
Moreover, due to particularities of the adolescents (sports activities, possible nutritional deficiency, reckless behaviour, etc.) the following additional tests are recommended :
Creatine phosphokinase (CPK)
An enzyme found in muscle cells, used as a marker of muscle stress / damage from excessive exercise and rarely for other pathological disorders.
Iron (Fe) and Ferritin (Ferr)
These tests assess the adequacy of dietary iron in children. Potential iron deficiency causes anemia, symptoms of fatigue and can lead to a general change in children’s behaviour, even to learning difficulties. They are also used to detect malabsorption problems.
Thyroid hormone (TSH)
This is the hormone that regulates thyroid gland function. Thyroid is responsible for the regulation of metabolic rate in the whole body. Children with a prolonged thyroid disfunction can develope obesity, show lack of concentration, learning difficulties, behavioural and developmental problems.
Preventive thyroid screening is even more valuable to people with thyroid disorders family history.
Vitamin D3 (25-OH-D3)
Critical substance for calcium uptake from bones and vital substance for immune system integrity. Surveys show that as much as 80% of the general polulation show D3 deficiency. In adolescents, the shortage of vitamin D can create developmental problems in the skeleton.
Critical substance in adolescents for the maintenance of the nervous system, mental functions and normal behavour. Possible eating disorders and malabsorption often result in vitamin B12 deficiency.
Information selected by :
- Interpretation of Diagnostic Tests – J.Wallach
The exact choice of tests required is under the responsibility of your treating physician
Editor: I. Gratsias Lab Director / Clinical Biochemist
Last Update May 2019
Medical Tests performed with analytical systems and reagents
by SIEMENS-USA & BECMAN COULTER-USA
Recommendations -preparation for blood sampling :
- A meal the previous night is mandatory.
- The last meal should be taken up to 11-12 hours before blood sampling.
- The evening meal is preferred to include the least possible animal fats.
- No meal should be taken in the morning. Water is free.
For urine collection:
- A sample of the first urination is preferable
- Prior to urination, a topical wash with plenty of water is recommended, with no use of soap.
- Results are given within the day.
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