Diaphragmatic paralysis laboratory findings

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

An elevated/reduced concentration of serum/blood/urinary/CSF/other [lab test] is diagnostic of [disease name].

OR

Laboratory findings consistent with the diagnosis of [disease name] include [abnormal test 1], [abnormal test 2], and [abnormal test 3].

OR

[Test] is usually normal for patients with [disease name].

OR

Some patients with [disease name] may have elevated/reduced concentration of [test], which is usually suggestive of [progression/complication].

OR

There are no diagnostic laboratory findings associated with [disease name].

Laboratory Findings

  • Complete blood count is usullay done to rull out anemia as a cause of dyspnea.
  • Tyroid tests are usually done because tyroid disease is usullay associated with bilateral diaphragamtic paralysis.
  • Laboratory test is usually normal among patients with unilateral daiphragmatic paralysis.
  • Laboratory findings consistent with the diagnosis of diaphragmatic paralysis include:[1]
    • Reduced oxygen saturation in the supine position in unilateral and bilateral diphragmatic paralysis
    • Elevated arterial partial pressure of carbon dioxide (PaCO2) in bilateral diaphragmatic paralysis
    • Hpoxemia may be seen in arterial blood gas in bilateral diaphragmatic paralysis.
  • Based on the causes of diaphragmatic paralysis, more laboratory tests may be needed.

References

  1. Martinez FJ, Strawderman RL, Flaherty KR, Cowan M, Orens JB, Wald J (August 1999). "Respiratory response during arm elevation in isolated diaphragm weakness". Am. J. Respir. Crit. Care Med. 160 (2): 480–6. doi:10.1164/ajrccm.160.2.9608096. PMID 10430717.

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