There are several popular methods to find out whether it is really a tularemia. The doctor may offer a serology examination to analyze the antibodies. Another test if a pleural fluid which requires your chest cavity. There is a lymph node biopsy aimed to observe the patient with the help of a tissue sample. Some doctors prefer a bone marrow biopsy to test the bone’s outtake. Finally, you may pass a skin biopsy as the disease attacks the body surface as well.