The evaluation of tularemia begins with a history and physical examination.

Physical findings in someone with tularemia include:

• Skin findings may include:
• Rash
• Skin ulcers
• Lymph node swelling
• Eye findings may include:
• Eye redness
• Eye drainage
• Throat redness
• Cough
• Rapid breathing rate

Testing is necessary to make the diagnosis of tularemia.

Tests that may be used to evaluate tularemia include:

• Chest x-ray:
• Normal chest x-rays
• Pneumonia
• Pleural effusion: fluid around the lung
• Complete blood count
• Erythrocyte sedimentation rate
• Cultures of pleural fluid
• Cultures of skin ulcers
• Tularemia antibody titer