{"id":6562,"date":"2026-06-03T14:18:19","date_gmt":"2026-06-03T18:18:19","guid":{"rendered":"https:\/\/pressbooks.bccampus.ca\/pathophysiology\/?post_type=chapter&#038;p=6562"},"modified":"2026-06-09T15:22:58","modified_gmt":"2026-06-09T19:22:58","slug":"diagnostic-tests-blood-biomarkers","status":"web-only","type":"chapter","link":"https:\/\/pressbooks.bccampus.ca\/pathophysiology\/chapter\/diagnostic-tests-blood-biomarkers\/","title":{"raw":"Section 11:\u00a0 Diagnostic Tests - Blood Biomarkers","rendered":"Section 11:\u00a0 Diagnostic Tests &#8211; Blood Biomarkers"},"content":{"raw":"Changes in blood composition provide valuable diagnostic clues about the cause and extent of cellular damage:\r\n<table class=\"grid landscape\" style=\"border-collapse: collapse;width: 100%;height: 365px\" border=\"0\">\r\n<tbody>\r\n<tr style=\"height: 46px\">\r\n<td class=\"border\" style=\"width: 35.3282%;height: 46px\"><span style=\"color: #032c80\"><strong>Inflammatory plasma proteins<\/strong><\/span><\/td>\r\n<td style=\"width: 64.6718%;height: 46px\">Damaged cells stimulate <strong>increased<\/strong> production of <strong>prothrombin, fibrinogen, C-reactive proteins (CRP)<\/strong>, and <strong>plasminogen<\/strong><\/td>\r\n<\/tr>\r\n<tr style=\"height: 15px\">\r\n<td class=\"shaded\" style=\"width: 35.3282%;height: 15px\"><span style=\"color: #032c80\"><strong>Antibodies and complement proteins<\/strong><\/span><\/td>\r\n<td class=\"shaded\" style=\"width: 64.6718%;height: 15px\">Rise during infection.<\/td>\r\n<\/tr>\r\n<tr style=\"height: 77px\">\r\n<td class=\"border\" style=\"width: 35.3282%;height: 77px\"><span style=\"color: #032c80\"><strong>RBC count &amp; Hemoglobin<\/strong><\/span><\/td>\r\n<td style=\"width: 64.6718%;height: 77px\">Oxygen-carrying capacity\r\n\r\nErythrocytopenia (reduced RBCs) \u2192 blood loss, sickle cell anemia, deficiency in iron, vitamin B<sub>12<\/sub>, folate, amino acids.<\/td>\r\n<\/tr>\r\n<tr style=\"height: 120px\">\r\n<td class=\"shaded\" style=\"width: 35.3282%;height: 120px\"><span style=\"color: #032c80\"><strong>WBC differential<\/strong><\/span><\/td>\r\n<td class=\"shaded\" style=\"width: 64.6718%;height: 120px\">Neutrophilia (elevated neutrophils) \u2192 bacterial infection;\r\n\r\nEosinophilia \u2192 <span style=\"font-size: 1em\">helminth infection; <\/span>\r\n\r\n<span style=\"font-size: 1em\">Lymphocytosis (elevated lymphocytes) <\/span>\u2192\u00a0<span style=\"font-size: 1em\">viral infection.<\/span>\r\n\r\nThrombocytopenia \u2192 bone marrow depression<\/td>\r\n<\/tr>\r\n<tr style=\"height: 31px\">\r\n<td class=\"border\" style=\"width: 35.3282%;height: 31px\"><span style=\"color: #032c80\"><strong>Liver enzymes<\/strong><\/span><\/td>\r\n<td style=\"width: 64.6718%;height: 31px\">Damaged hepatocytes release liver enzymes (e.g., ALT, GGT and AST) into the bloodstream.<\/td>\r\n<\/tr>\r\n<tr style=\"height: 31px\">\r\n<td class=\"shaded\" style=\"width: 35.3282%;height: 31px\"><span style=\"color: #032c80\"><strong>Cardiac proteins<\/strong><\/span><\/td>\r\n<td class=\"shaded\" style=\"width: 64.6718%;height: 31px\">Damaged cardiomyocytes (in myocardial infarction) release cardiac troponin, actin, myosin, and creatine kinase into the bloodstream.<\/td>\r\n<\/tr>\r\n<tr style=\"height: 15px\">\r\n<td style=\"width: 35.3282%;height: 15px\"><span style=\"color: #032c80\"><strong>Hormones<\/strong><\/span><\/td>\r\n<td style=\"width: 64.6718%;height: 15px\">Measure of endocrine production<\/td>\r\n<\/tr>\r\n<tr style=\"height: 15px\">\r\n<td class=\"shaded\" style=\"width: 35.3282%;height: 15px\"><span style=\"color: #032c80\"><strong>Nutrients<\/strong><\/span><\/td>\r\n<td class=\"shaded\" style=\"width: 64.6718%;height: 15px\">Monitor for any dietary deficiencies<\/td>\r\n<\/tr>\r\n<tr style=\"height: 15px\">\r\n<td style=\"width: 35.3282%;height: 15px\"><span style=\"color: #032c80\"><strong>Wastes<\/strong><\/span><\/td>\r\n<td style=\"width: 64.6718%;height: 15px\">Reflects organ function involved in waste removal<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h3><\/h3>","rendered":"<p>Changes in blood composition provide valuable diagnostic clues about the cause and extent of cellular damage:<\/p>\n<table class=\"grid landscape\" style=\"border-collapse: collapse;width: 100%;height: 365px\">\n<tbody>\n<tr style=\"height: 46px\">\n<td class=\"border\" style=\"width: 35.3282%;height: 46px\"><span style=\"color: #032c80\"><strong>Inflammatory plasma proteins<\/strong><\/span><\/td>\n<td style=\"width: 64.6718%;height: 46px\">Damaged cells stimulate <strong>increased<\/strong> production of <strong>prothrombin, fibrinogen, C-reactive proteins (CRP)<\/strong>, and <strong>plasminogen<\/strong><\/td>\n<\/tr>\n<tr style=\"height: 15px\">\n<td class=\"shaded\" style=\"width: 35.3282%;height: 15px\"><span style=\"color: #032c80\"><strong>Antibodies and complement proteins<\/strong><\/span><\/td>\n<td class=\"shaded\" style=\"width: 64.6718%;height: 15px\">Rise during infection.<\/td>\n<\/tr>\n<tr style=\"height: 77px\">\n<td class=\"border\" style=\"width: 35.3282%;height: 77px\"><span style=\"color: #032c80\"><strong>RBC count &amp; Hemoglobin<\/strong><\/span><\/td>\n<td style=\"width: 64.6718%;height: 77px\">Oxygen-carrying capacity<\/p>\n<p>Erythrocytopenia (reduced RBCs) \u2192 blood loss, sickle cell anemia, deficiency in iron, vitamin B<sub>12<\/sub>, folate, amino acids.<\/td>\n<\/tr>\n<tr style=\"height: 120px\">\n<td class=\"shaded\" style=\"width: 35.3282%;height: 120px\"><span style=\"color: #032c80\"><strong>WBC differential<\/strong><\/span><\/td>\n<td class=\"shaded\" style=\"width: 64.6718%;height: 120px\">Neutrophilia (elevated neutrophils) \u2192 bacterial infection;<\/p>\n<p>Eosinophilia \u2192 <span style=\"font-size: 1em\">helminth infection; <\/span><\/p>\n<p><span style=\"font-size: 1em\">Lymphocytosis (elevated lymphocytes) <\/span>\u2192\u00a0<span style=\"font-size: 1em\">viral infection.<\/span><\/p>\n<p>Thrombocytopenia \u2192 bone marrow depression<\/td>\n<\/tr>\n<tr style=\"height: 31px\">\n<td class=\"border\" style=\"width: 35.3282%;height: 31px\"><span style=\"color: #032c80\"><strong>Liver enzymes<\/strong><\/span><\/td>\n<td style=\"width: 64.6718%;height: 31px\">Damaged hepatocytes release liver enzymes (e.g., ALT, GGT and AST) into the bloodstream.<\/td>\n<\/tr>\n<tr style=\"height: 31px\">\n<td class=\"shaded\" style=\"width: 35.3282%;height: 31px\"><span style=\"color: #032c80\"><strong>Cardiac proteins<\/strong><\/span><\/td>\n<td class=\"shaded\" style=\"width: 64.6718%;height: 31px\">Damaged cardiomyocytes (in myocardial infarction) release cardiac troponin, actin, myosin, and creatine kinase into the bloodstream.<\/td>\n<\/tr>\n<tr style=\"height: 15px\">\n<td style=\"width: 35.3282%;height: 15px\"><span style=\"color: #032c80\"><strong>Hormones<\/strong><\/span><\/td>\n<td style=\"width: 64.6718%;height: 15px\">Measure of endocrine production<\/td>\n<\/tr>\n<tr style=\"height: 15px\">\n<td class=\"shaded\" style=\"width: 35.3282%;height: 15px\"><span style=\"color: #032c80\"><strong>Nutrients<\/strong><\/span><\/td>\n<td class=\"shaded\" style=\"width: 64.6718%;height: 15px\">Monitor for any dietary deficiencies<\/td>\n<\/tr>\n<tr style=\"height: 15px\">\n<td style=\"width: 35.3282%;height: 15px\"><span style=\"color: #032c80\"><strong>Wastes<\/strong><\/span><\/td>\n<td style=\"width: 64.6718%;height: 15px\">Reflects organ function involved in waste removal<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3><\/h3>\n","protected":false},"author":1370,"menu_order":12,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":["zoe-soon"],"pb_section_license":"cc-by-nc-sa"},"chapter-type":[],"contributor":[60],"license":[57],"class_list":["post-6562","chapter","type-chapter","status-web-only","hentry","contributor-zoe-soon","license-cc-by-nc-sa"],"part":25,"_links":{"self":[{"href":"https:\/\/pressbooks.bccampus.ca\/pathophysiology\/wp-json\/pressbooks\/v2\/chapters\/6562","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.bccampus.ca\/pathophysiology\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.bccampus.ca\/pathophysiology\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/pathophysiology\/wp-json\/wp\/v2\/users\/1370"}],"version-history":[{"count":3,"href":"https:\/\/pressbooks.bccampus.ca\/pathophysiology\/wp-json\/pressbooks\/v2\/chapters\/6562\/revisions"}],"predecessor-version":[{"id":6737,"href":"https:\/\/pressbooks.bccampus.ca\/pathophysiology\/wp-json\/pressbooks\/v2\/chapters\/6562\/revisions\/6737"}],"part":[{"href":"https:\/\/pressbooks.bccampus.ca\/pathophysiology\/wp-json\/pressbooks\/v2\/parts\/25"}],"metadata":[{"href":"https:\/\/pressbooks.bccampus.ca\/pathophysiology\/wp-json\/pressbooks\/v2\/chapters\/6562\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.bccampus.ca\/pathophysiology\/wp-json\/wp\/v2\/media?parent=6562"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/pathophysiology\/wp-json\/pressbooks\/v2\/chapter-type?post=6562"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/pathophysiology\/wp-json\/wp\/v2\/contributor?post=6562"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/pathophysiology\/wp-json\/wp\/v2\/license?post=6562"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}