What Causes Musculoskeletal Pain?

You can feel musculoskeletal pain in your muscles, ligaments, tendons, and bones. What can you do to ease the aches?

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The Basics: Pinkeye Causes and Treatments

Say goodbye to pinkeye. Find out how to soothe your red, itchy eye and keep the infection from spreading.

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5 Amazing Benefits of Daily Meditation

Life a bit overwhelming? Five minutes of meditation 1-2 times per day can help you stop the world and send your woes packing. Here are 5 amazing benefits to daily meditation.

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Countdown to Baby: What Happens During Labor

Labor is a journey – and it’s different for every mom-to-be. Here’s how it might unfold for you.

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Lipase Tests: MedlinePlus Lab Test Information

What is a lipase test?

Lipase is a type of protein made by your pancreas, an organ located near your stomach. Lipase helps your body digest fats. It’s normal to have a small amount of lipase in your blood. But, a high level of lipase can mean you have pancreatitis, an inflammation of the pancreas, or another type of pancreas disease. Blood tests are the most common way of measuring lipase.

Other names: serum lipase, lipase, LPS

What is it used for?

A lipase test may be used to:

  • Diagnose pancreatitis or another disease of the pancreas
  • Find out if there is a blockage in your pancreas
  • Check for chronic diseases that affect the pancreas, including cystic fibrosis

Why do I need a lipase test?

You may need a lipase test if you have symptoms of a pancreas disease. These include:

You may also need a lipase test if you certain risk factors for pancreatitis. These include:

You may also be at a higher risk if you are a smoker or heavy alcohol user.

What happens during a lipase test?

A lipase test is usually in the form of a blood test. During a blood test, a health care professional will take a blood sample from a vein in your arm, using a small needle. After the needle is inserted, a small amount of blood will be collected into a test tube or vial. You may feel a little sting when the needle goes in or out. This usually takes less than five minutes.

Lipase can also be measured in urine. Usually, a lipase urine test can be taken at any time of day, with no special preparation needed.

Will I need to do anything to prepare for the test?

You may need to fast (not eat or drink) for 8–12 hours before a lipase blood test. If your health care provider has ordered a lipase urine test, be sure to ask if you need to follow any special instructions.

Are there any risks to the test?

There is very little risk to having a blood test. You may have slight pain or bruising at the spot where the needle was put in, but most symptoms go away quickly.

There are no known risks to a urine test.

What do the results mean?

A high level of lipase may indicate:

A low level of lipase may mean there is damage to cells in the pancreas that make lipase. This happens in certain chronic diseases such as cystic fibrosis.

If your lipase levels are not normal, it doesn’t necessarily mean you have a medical condition needing treatment. Certain medicines, including codeine and birth control pills, can affect your lipase results. If you have questions about your lipase test results, talk to your health care provider.

Is there anything else I need to know about a lipase test?

A lipase test is commonly used to diagnose pancreatitis. Pancreatitis can be acute or chronic. Acute pancreatitis is a short-term condition that usually goes away after a few days of treatment. Chronic pancreatitis is a long-lasting condition that gets worse over time. But it can be managed with medicine and lifestyle changes, such as quitting drinking. Your health care provider may also recommend surgery to repair the problem in your pancreas.

References

  1. Hinkle J, Cheever K. Brunner & Suddarth’s Handbook of Laboratory and Diagnostic Tests. 2nd Ed, Kindle. Philadelphia: Wolters Kluwer Health, Lippincott Williams & Wilkins; c2014. Lipase, Serum; 358 p.
  2. Johns Hopkins Medicine [Internet]. Johns Hopkins Medicine; Health Library: Chronic Pancreatitis [cited 2017 Dec 16]; [about 3 screens]. Available from: https://www.hopkinsmedicine.org/healthlibrary/conditions/adult/digestive_disorders/chronic_pancreatitis_22,chronicpancreatitis
  3. Junglee D, Penketh A, Katrak A, Hodson ME, Batten JC, Dandona P. Serum pancreatic lipase activity in cystic fibrosis. Br Med J [Internet]. 1983 May 28 [cited 2017 Dec 16]; 286(6379):1693–4. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1548188/pdf/bmjcred00555-0017.pdf
  4. Lab Tests Online [Internet]. Washington D.C.; American Association for Clinical Chemistry; c2001–2018. Lipase [updated 2018 Jan 15; cited 2018 Feb 20]; [about 3 screens]. Available from: https://labtestsonline.org/tests/lipase
  5. Lab Tests Online [Internet]. Washington D.C.; American Association for Clinical Chemistry; c2001–2018. Glossary: Random Urine Sample [cited 2017 Dec 16]; [about 3 screens]. Available from: https://labtestsonline.org/glossary#r
  6. Mayo Clinic: Mayo Medical Laboratories [Internet]. Mayo Foundation for Medical Education and Research; c1995–2017. Test ID: FLIPR: Lipase, Random Urine: Specimen [cited 2017 Dec 16]; [about 3 screens]. Available from: https://www.mayomedicallaboratories.com/test-catalog/Specimen/90347
  7. National Cancer Institute [Internet]. Bethesda (MD): U.S. Department of Health and Human Services; NCI Dictionary of Cancer Terms: pancreas [cited 2017 Dec 16]; [about 3 screens]. Available from: https://www.cancer.gov/publications/dictionaries/cancer-terms?cdrid=46254
  8. National Heart, Lung, and Blood Institute [Internet]. Bethesda (MD): U.S. Department of Health and Human Services; Blood Tests [cited 2018 Feb 20]; [about 3 screens]. Available from: https://www.nhlbi.nih.gov/health-topics/blood-tests
  9. National Institute of Diabetes and Digestive and Kidney Diseases [Internet]. Bethesda (MD): U.S. Department of Health and Human Services; Definitions & Facts for Pancreatitis; 2017 Nov [cited 2017 Dec 16]; [about 4 screens]. Available from: https://www.niddk.nih.gov/health-information/digestive-diseases/pancreatitis/definition-facts
  10. National Institute of Diabetes and Digestive and Kidney Diseases [Internet]. Bethesda (MD): U.S. Department of Health and Human Services; Treatment for Pancreatitis; 2017 Nov [cited 2017 Dec 16]; [about 4 screens]. Available from: https://www.niddk.nih.gov/health-information/digestive-diseases/pancreatitis/treatment
  11. University of Rochester Medical Center [Internet]. Rochester (NY): University of Rochester Medical Center; c2017. Health Encyclopedia: Lipase [cited 2017 Dec 16]; [about 2 screens]. Available from: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=lipase
  12. University of Rochester Medical Center [Internet]. Rochester (NY): University of Rochester Medical Center; c2017. Health Encyclopedia: Microscopic Urinalysis [cited 2017 Dec 16]; [about 2 screens]. Available from: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=urinanalysis_microscopic_exam
  13. UW Health [Internet]. Madison (WI): University of Wisconsin Hospitals and Clinics Authority; c2017. Health Information: Lipase: Test Overview [updated 2017 Oct 9; cited 2017 Dec 16]; [about 2 screens]. Available from: https://www.uwhealth.org/health/topic/medicaltest/lipase/hw7976.html
  14. UW Health [Internet]. Madison (WI): University of Wisconsin Hospitals and Clinics Authority; c2017. Health Information: Lipase: Why It Is Done [updated 2017 Oct 9; cited 2017 Dec 16]; [about 3 screens]. Available from: https://www.uwhealth.org/health/topic/medicaltest/lipase/hw7976.html#hw7984

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What Does Your Liver Do?

Your liver is one of the hardest working organs in your body. So what exactly does it do?

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Whooping Cough Diagnosis: MedlinePlus Lab Test Information

What is a whooping cough test?

Whooping cough, also known as pertussis, is a bacterial infection that causes severe fits of coughing and trouble breathing. People with whooping cough sometimes make a “whooping” sound as they try to take a breath. Whooping cough is very contagious. It is spread from person to person by coughing or sneezing.

You can get whooping cough at any age, but it mostly affects children. It’s especially serious, and sometimes deadly, for babies less than a year old. A whooping cough test can help diagnose the disease. If your child gets a whooping cough diagnosis, he or she may be able to get treatment to prevent severe complications.

The best way to protect against whooping cough is with vaccination.

Other names: pertussis test, bordetella pertussis culture, PCR, antibodies (IgA, IgG, IgM)

What is the test used for?

A whooping cough test is used to find out whether you or your child has whooping cough. Getting diagnosed and treated in the early stages of infection may make your symptoms less severe and help prevent the spread of the disease.

Why do I need a whooping cough test?

Your health care provider may order a whooping cough test if you or your child has symptoms of whooping cough. You or your child may also need a test if you’ve been exposed to someone who has whooping cough.

Symptoms of whooping cough usually occur in three stages. In the first stage, symptoms are like those of a common cold and may include:

  • Runny nose
  • Watery eyes
  • Mild fever
  • Mild cough

It’s better to get tested in the first stage, when the infection is most treatable.

In the second stage, the symptoms are more serious and may include:

  • Severe coughing that’s hard to control
  • Trouble catching your breath when coughing, which may cause a “whooping” sound
  • Coughing so hard it causes vomiting

In the second stage, infants may not cough at all. But they may struggle to breathe or may even stop breathing at times.

In the third stage, you will start to feel better. You may still be coughing, but it will probably be less often and less severe.

What happens during a whooping cough test?

There are different ways to test for whooping cough. Your health care provider may choose one of the following ways to make a whooping cough diagnosis.

  • Nasal aspirate. Your health care provider will inject a saline solution into your nose, then remove the sample with gentle suction.
  • Swab test. Your health care provider will use a special swab to take a sample from your nose or throat.
  • A blood test. During a blood test, a health care professional will take a blood sample from a vein in your arm, using a small needle. After the needle is inserted, a small amount of blood will be collected into a test tube or vial. You may feel a little sting when the needle goes in or out. This usually takes less than five minutes. Blood tests are used more often in later stages of whooping cough.

In addition, your health care provider may order an x-ray to check for inflammation or fluid in the lungs.

Will I need to do anything to prepare for a whooping cough test?

You don’t need any special preparations for a whooping cough test.

Are there any risks to the tests?

There is very little risk to whooping cough tests.

  • The nasal aspirate may feel uncomfortable. These effects are temporary.
  • For a swab test, you may feel a gagging sensation or even a tickle when your throat or nose is swabbed.
  • For a blood test, you may have slight pain or bruising at the spot where the needle was put in, but most symptoms go away quickly.

What do the results mean?

A positive result probably means you or your child has whooping cough. A negative result doesn’t completely rule out whooping cough. If your results are negative, your health care provider will probably order more tests to confirm or rule out a whooping cough diagnosis.

Whooping cough is treated with antibiotics. Antibiotics can make your infection less serious if you start treatment before your cough gets really bad. Treatment may also help prevent you from spreading the disease to others.

If you have questions about your test results or treatment, talk to your health care provider.

Is there anything else I need to know about whooping cough tests?

The best way to protect against whooping cough is with vaccination. Before whooping cough vaccines became available in the 1940s, thousands of children in the United States died from the disease every year. Today, deaths from whooping cough are rare, but as many as 40,000 Americans get sick with it every year. Most cases of whooping cough affect babies too young to be vaccinated or teens and adults who are not vaccinated or up to date on their vaccines.

The Centers for Disease Control and Prevention (CDC) recommends vaccination for all babies and children, teens, pregnant women, and adults who have not been vaccinated or are not up to date on their vaccines. Check with your health care provider to see if you or child needs to be vaccinated.

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How to Brush Your Teeth

Are you brushing your teeth the right way? Follow these steps to keep your pearly whites sparkling and healthy. Learn more: http://wb.md/2duwakT

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13 [HealthCare] Leadership Lessons from the Lady with the Lamp

“What nursing has to do is put the patient in the best condition for nature to act upon them,” said Florence Nightingale.  The mother of modern nursing was born May 12, 1820 in Florence, Italy, and passed on this day, August 13, 1910 in London England.   As the founder of the science, her philosophy of managing the patient changed the face of nursing forever.

Today, the 108th anniversary of her death, marks a wonderful time to reflect upon the life and work of the woman who more than anyone else can also be properly credited with building the framework for modern healthcare leadership. In her groundbreaking work in Crimea, the “Lady with the Lamp” crafted guidelines for hospital administration and the use of statistics which still serve as the basis for clinical leadership today.

In a very real sense, her innovative approaches make Nightingale the architect of the modern hospital. With the exception of high-tech medicine evolution over the past half century, virtually every department in today’s hospitals and every clinician office can trace the roots of their standards back to those first introduced by Florence Nightingale.

History

In 1853, the Crimean War broke out….The British Empire was at war with the Russian Empire for control of the Ottoman Empire.  During this time of open conflict, no fewer than 18,000 soldiers were admitted into military hospitals across the war zone.  The English were in an uproar about the neglect of their soldiers, who not only lacked sufficient medical attention due to under-staffing, the conditions in these hospitals were appalling, inhumane and unsanitary.

In late 1854, Florence Nightingale was a highly regarded superintendent living in London when she received an urgent letter from the Secretary of War, Sidney Herbert.  He requested she organize a corps of skilled nurses to tend their sick in Crimea.

Nightingale rose to the call, assembling a team of 34 nurses.  Though they we’re made aware of the horrid conditions, not one was truly prepared for the reality of what they faced upon arriving in Scutari – the base hospital in Constantinople.

The hospital was built on a large cesspool which contaminated the water and the hospital itself.   Patients were lying in their own feces on stretchers strewn throughout the hallways.  Rodents and bugs scurried over them.  More soldiers were dying from controllable infectious disease, like typhoid and cholera, than from their injuries.

The no nonsense Nightingale quickly set to work.  She and her team procured scrub brushes and cleaned every surface within Scutari.  She then spent every waking moment caring for the sick, and, at night, moved through the halls carrying a lantern ministering to patient after patient.  The soldiers who were inspired, comforted and healed by her compassion took to calling her the “lady with the lamp”.  To others, she became me known as “The Angel of Crimea”.

Her work reduced the hospital’s deaths by two-thirds.  In addition to vast improvements in cleanliness, Nightingale also created many patient programs that significantly contributed to a healthy, healing environment – both physically and psychologically – using the application of statistics.

13 Leadership Lessons from the Lady with the Lamp

Follow Your North Star

Born into wealth, Florence could easily have settled into a life of Victorian ease at her family’s country mansion; instead, she chose a path of arduous commitment to caring for others. Nightingale found something more than just a job to do – she was on a mission.  She did not inquire about pay and benefits before leading her team of young nurses off to the Crimea, where they endured working conditions that would be beyond intolerable in today’s world.

Her devotion to her calling changed the work of healthcare forever while ensuring she never experienced burnout.  Her legacy reminds us caring for the sick is more than just a business – it’s a mission, and that being a caregiver is more than just a job – it should be a calling. The first duty of healthcare leadership is inspiring this commitment, beginning with our own examples.

Many of the problems in today’s healthcare system stem from the fact too many clinics and hospitals focus more on their business plans rather than on their missions, and far too many healthcare professionals have jobs rather than a calling. Nightingale might encourage a re-commitment to the things that really matter – those passions that hopefully attracted our idealistic younger selves into healthcare in the first place.  Create a compelling mission for your team, and lead others with that mission front of mind at all times.

PERSIST RELENTLESSLY

Nightingale was courageous and unstoppable. She did not allow opposition from the British aristocracy or the antiquated views of military leaders to prevent her from doing her work. When she ran into a wall, she found a way around or over, even to the extent of going directly to the English public for funding support and to the Queen for political backing.

With a never ceasing, never ending single minded focus to Exceed Expectations, it is always important to remain resolute and thrive, even when facing challenges or obstacles.  If the mission is compelling enough and routinely rallied around, you Will ensure your ongoing efforts lead to ultimate success.

Build a Culture of Discipline

Less well-known than Nightingale’s contributions to hospital and nursing practice was her pioneering work in the field of medical statistics. Her painstaking efforts to chart infection and death rates among soldiers at Scutari gave weight to her demands for improved sanitary conditions first at military hospitals, and later in civilian institutions. She demonstrated that if you want to be effective, it’s not enough to know that you’re right – you must be able to demonstrate that you’re right with the facts.

Be Truly Present

Long before Daniel Goleman coined the phrase “social radar” in his book Emotional Intelligence, Nightingale appreciated that awareness and empathy are central to quality patient care (and to effective leadership). In Notes on Nursing, she wrote: “The most important practical lesson that can be given to nurses is to teach them what to observe – how to observe… If you cannot get the habit of observation one way or another you had better give up being a nurse, for it is not your calling, however kind and anxious you may be.”

In today’s fast-paced healthcare environment, it’s important that caregivers  and healthcare leaders stop for a moment for a quick mental reminder to really be in the moment with patients and team members, and not mentally off onto the next chore.   It is critical leaders apply the “social radar” principle when interacting with everyone.

Set the Stage

Nightingale’s environmental theory was “the act of utilizing the environment of the patient to assist in recovery”.  This involves the nurse’s initiative to configure the environmental settings appropriate for the gradual restoration of a patient’s health and acknowledges external factors associated with the patient’s surroundings affect life and biological and physiologic processes and development.

Just as important is creating a work environment for your staff that encourages peak performance.  Without doubt, the greatest influence in life is our environment – it affects our moods, our ability to perform, our effectiveness, our health, our peace of mind, our sense of wellbeing, and our beliefs.  Our environment impacts everything.

It is critical leaders create an environment where the teams they guide are challenged, supported and more energized than ever before.  Build a workplace that reinforces the mindset of peak performance, which empowers the team to drive the results you want, and routinely encourages everyone to take the necessary steps to create remarkable success.  Take the initiative to set the stage and configure physical and psychological environments that unleash greatness.

Maintain Mutual Respect

Nightingale cared passionately about the nurses under her wing and the soldiers under her care. As one example, she was adamant, in her hospital, triage would be performed on the basis of the patient’s medical condition and not his rank in the military, social standing, or religion – a precept that was quite radical in Victorian England. Many of the specific techniques in her ground-breaking work Notes on Nursing are now outdated, but her absolute commitment to patient dignity and a spirit of mutual respect in the workplace remains essential.

Choose your Attitude

Nightingale would have agreed with the statement, “Attitude is everything”. She had an intuitive understanding that emotions are contagious, and would never have tolerated the gossip, complaining, and other forms of toxic emotional negativity prevalent in many work environments today. Toxic negativity is the emotional and spiritual equivalent of cigarette smoke, and, in its own way, just as harmful.

To promote a more positive and productive workplace culture, we must raise our attitudinal expectations and lower our tolerance for deviation from those expectations. Even in the horrendous circumstances that prevailed at Scutari, Nightingale insisted people be treated with dignity.  One thing is certain: she would never have tolerated, much less condoned, the gossip and the complaining hallways and in the “Coffee-Clutch” today. In one of the many letters she delivered to newly graduated nurses from the Nightingale School of Nursing, Florence wrote:

“Prying into one another’s concerns, acting behind another’s back, backbiting, misrepresentation, bad temper, bad thoughts, murmuring, complaining. Do we ever think of how we bear the responsibility for all the harm that we cause in this way?”

Guide with Encouragement

In her quiet and dignified manner, Nightingale was a cheerleader devoted to encouraging qualified young women to enter her profession – even though the work was hard and the pay was low. One suspects she would have had harsh words for doctors and nurses of our era who are telling the next generation to stay out of healthcare because they themselves are working too hard, not making enough money, and not having enough fun.

Aspire to Improve Passionately

Nightingale never rested on her laurels; instead, she continuously raised the bar. After proving a more professional approach to nursing care would improve clinical outcomes, she helped found the first visiting nurses association, chartered the first modern school of professional nursing, created a blueprint for the modern hospital, and used her writings to create professional standards for hospital management.

She remained active until the end of her life at the age of 90. Her commitment to never-ending improvement shines like a lamp across more than a century, inspiring us to work our way through the challenges of today and never lose sight of the better world we need to create for tomorrow.

Create and Model Loyalty

 Nightingale was a team-builder who cared passionately about the nurses under her wing and the soldiers under her care. She was a demanding leader, but also showed uncompromising commitment to the people she led.

Upon her return to England from Scutari she personally endeavored to make sure that every nurse who had served with her there would find employment upon their return home. Her legendary loyalty to the soldiers she served was reflected in the fact that when she was buried, her coffin was escorted by octogenarian veterans of the Crimean War honoring their debt to the lady with the lamp.

Introduce Humor

 

Nightingale’s contemporaries reported she had a wonderful sense of humor and was often able to defuse tense situations with the light touch of laughter.   She might reflect, if she could laugh in the hell-on-earth environment of the Scutari Barrack Hospital, then no matter what the world throws at us, we can’t forget the restorative and healing power of laughter.

Maintain Open Collaboration

 We are constantly hearing about the “healthcare crisis”, and we are likely to be hearing those two words in sound bites for decades to come.  What would Nightingale tell us about dealing with this perennial drain on our wellbeing?  Sara Rutledge, a nurse who’s a character in Joe Tye’s book The Florence Prescription: From Accountability to Ownership, put it this way: “We need to see opportunities where others see barriers. We need to be cheerleaders when others are moaning doom-and-gloom. We need to face problems with contrarian toughness because it’s in how we solve those problems that we differentiate ourselves from everyone else.”

Difficulty is the common thread woven into every great achievement.  To encourage innovation and accountability, foster open collaboration and even embrace contrarian opinions.  We will always achieve far more working together.  When we are fully transparent with one another, facilitate a culture of trust and mutual respect and make room for and learn from opposing ideas, we will grow.  Together, we must support the mission and growth of the team at all times.

Display and Encourage Initiative

 Nightingale attributed her success to the fact she “never gave or took any excuse.” When told there was no money to repair a burned-out wing of the Scutari Barrack Hospital that was scheduled to receive hundreds of new casualties, she hired a Turkish work crew and before anyone could stop her, had the wing refurbished. The acid test of an “empowering” workplace is whether people – regardless of job title – can take the initiative to do the right thing for patients and coworkers without seeking permission or worrying about recrimination.

A concluding thought

Equip, enable, empower and encourage your people.  They will take care of the patients and customers, and that will take care of the results.  In this way, we can create a better healthcare world, confidently confront the challenges we face with courage and determination, and ensure we are making wellness a priority for all.

And here is another cool way to make wellness a priority.  Go to HealthLynked.com and signup for free, today!  There, you will be able to connect and collaborate more closely on the efficient exchange of health information.

 

 

 

Adapted from the following works:

100 Day Challenge, by Gary Ryan Blair

10 Leadership Lessons from Florence Nightingale, by Joe Tyre

 

 

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C-Reactive Protein (CRP) Test: MedlinePlus Lab Test Information

What is a c-reactive protein (CRP) test?

A c-reactive protein test measures the level of c-reactive protein (CRP) in your blood. CRP is a protein made by your liver. It’s sent into your bloodstream in response to inflammation. Inflammation is your body’s way of protecting your tissues if you’ve been injured or have an infection. It can cause pain, redness, and swelling in the injured or affected area. Some autoimmune disorders and chronic diseases can also cause inflammation.

Normally, you have low levels of c-reactive protein in your blood. High levels may be sign of a serious infection or other disorder.

Other names: c-reactive protein, serum

What is it used for?

A CRP test may be used to find or monitor conditions that cause inflammation. These include:

Why do I need a CRP test?

You may need this test if you have symptoms of a serious bacterial infection. Symptoms include:

If you’ve already been diagnosed with an infection or have a chronic disease, this test may be used to monitor your treatment. CRP levels rise and fall depending on how much inflammation you have. If your CRP levels go down, it’s a sign that your treatment for inflammation is working.

What happens during a CRP test?

A health care professional will take a blood sample from a vein in your arm, using a small needle. After the needle is inserted, a small amount of blood will be collected into a test tube or vial. You may feel a little sting when the needle goes in or out. This process usually takes less than five minutes.

Will I need to do anything to prepare for the test?

You don’t need any special preparations for a CRP test.

Are there any risks to the test?

There is very little risk to having a blood test. You may have slight pain or bruising at the spot where the needle was put in, but most symptoms go away quickly.

What do the results mean?

If your results show a high level of CRP, it probably means you have some type of inflammation in your body. A CRP test doesn’t explain the cause or location of the inflammation. So if your results are not normal, your health care provider may order more tests to figure out why you have inflammation.

A higher than normal CRP level does not necessarily mean you have a medical condition needing treatment. There are other factors that can raise your CRP levels. These include cigarette smoking, obesity, and lack of exercise.

If you have questions about your results, talk to your health care provider.

Is there anything else I need to know about a CRP test?

A CRP test is sometimes confused with a high-sensitivity-(hs) CRP test. Although they both measure CRP, they are used to diagnose different conditions. An hs-CRP test measures much lower levels of CRP. It is used to check for risk of heart disease.

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