Top
20
Doctor insights on: Hla Drb1 High Resolution Typing

Share
2

2
With regards to hla typing, is mhc-1 matching or mhc-2 better to avoid a graft rejection?

With regards to hla typing, is mhc-1 matching or mhc-2 better to avoid a graft rejection?

In the arena of stem: Cell transplantation this is more defined than in the past. Class one match (hla a, b and c) and class two (hla dr and dq) are all performed at high resolution (gene level tryping). The best match with all loci evaluated will produce the lowest chance of graft rejection. Mis-match can be assessed in the gvhd and host vs graft (rejection) direction. ...Read more

5

5
My g.P."blood work results normal", detail results flaged; mpv 7.2(low), %eosin 5.7(high), cpr 5.0 (high), free testost s 0.2 (low), anyguesseswillhelp!

My g.P."blood work results normal", detail results flaged; mpv 7.2(low), %eosin 5.7(high), cpr 5.0 (high), free testost s 0.2 (low), anyguesseswillhelp!

CRP: The only one of those results that peaks my attention is the elevated crp. That indicates an inflammatory condition in your body and your doctor will probably have some ideas of what systems to further assess. The low testosterone isn't very specific so it should be repeated as a total and free testosterone in early A.M. ...Read more

See 2 more doctor answers
Dr. Jan Lei Iwata Dr. Iwata
<b>2</b> doctors agreed:
6

6
Eating a High Protein Diet (Checklist)

Balance diet with lots of greens, vegetables, & hydrate adequately
Once
7

7
Ana positive 160 with lambda bj protein in urine (total 2 gm/day). Diabetic ckd r/o myeloma. Creatinine 1.5-2.6 variable. Hem unaware of lcdd. Steps?

Ana positive 160 with lambda bj protein in urine (total 2 gm/day). Diabetic ckd r/o myeloma. Creatinine 1.5-2.6 variable. Hem unaware of lcdd. Steps?

Multiple myeloma: Multiple myeloma diagnosis needs more information, need the hemoglobin level, calcium level, need serum immunoglobulin level and urine BJ protein of course. Some times you may need a bone marrow biopsy for the confirmation of the diagnosis. You need to see an Oncologist/Hematologist ...Read more

8

8
Chronic joint pain swelling. Ra factor 11.9, sed rate 7, ANA positive and high 1:160, ccp antibodies high 250, CRP 0.4, any ideas drs? Thanks.

Chronic joint pain swelling. Ra factor 11.9, sed rate 7, ANA positive and high 1:160, ccp antibodies high 250, CRP 0.4, any ideas drs? Thanks.

RAc: Joint pains and swelling with elevated anti ccp is suggestive of rheumatoid arthritis . Diagnosis can be substantiated by thorough clinical exam and x-rays .Ra responds well if caught early. ...Read more

See 1 more doctor answer
Dr. Ankush Bansal Dr. Bansal
<b>2</b> doctors agreed:
9

9
Managing High Cholesterol (Checklist)

Take your medications as prescribed
Once
Avoid or limit all meat and shellfish
Once
Reduce fatty, fried, and sugary food
Once
Eat mostly fruits and vegetables
Once
10

10
Went to dr with hand, shoulder, hip joint pain. Ana reflex screen Ana positive 1.0 and rnp antibody positive 4.3. All others neg. Very scared!

Went to dr with hand, shoulder, hip joint pain. Ana reflex screen Ana positive 1.0 and rnp antibody positive 4.3.  All others neg.  Very scared!

Lab numbers: These numbers don't show changes at joints and with most auto immune disorders, you may have periods of pain and increased lab numbers, usually related to stress in your life, and once treated medically or with stress reduction, pain/lab should improve. May want xray of one of involved joints just inflamed which can return to baseline. ...Read more

Dr. Budi Bahureksa Dr. Bahureksa
<b>2</b> doctors agreed:
12

12
Managing High Blood Pressure (Checklist)

Monitor your blood pressure at home
Daily
See your doctor regularly and work with him/her to control your blood pressure
Once
Take your medication as instructed without fail
Once
14

14
Autoimmune pancreatitis how dx? random lipase spikes & do not drink/do drugs. positive ANA - igG1 is low -facial bx chronic swelling -vit d defcnt

Autoimmune pancreatitis how dx? random lipase spikes & do not drink/do drugs. positive ANA  - igG1 is low -facial bx chronic swelling -vit d defcnt

Biopsy Needed: Autoimmune pancreatitis is a rare type of chronic pancreatitis. On CAT scan, it sometimes looks like a pancreatic mass. I saw a patient who was thought to have pancreatic cancer. but her biopsy showed autoimmune pancreatitis. Sometimes autoimmune pancreatitis is part of IGG4-related systemic disease, and can mimic other diseases like sjogrens. Since you also have facial swelling, consider this dx ...Read more

15

15
Moms blood protein [email protected] 8.5g/dl (8.3 upper limit). Alb ok. [email protected] upper limit of normal. A/G ratio [email protected] .8 (1.1-2.2). Low iron,high ferritin. Hgb [email protected] 12g/dl (12.5-16). eGFR 59. Can biopsy-proven chronic gastritis explain? Push for electrophoresis?

Moms blood protein high@ 8.5g/dl (8.3 upper limit). Alb ok. Glob@ upper limit of normal. A/G ratio low@ .8 (1.1-2.2). Low iron,high ferritin. Hgb low@ 12g/dl (12.5-16). eGFR 59. Can biopsy-proven chronic gastritis explain? Push for electrophoresis?

Repeat labs: All of the abnormal labs there are borderline. None of them seem to stand out as a major problem. I think if she has a diagnosis of gastritis, and it is being treated, it would be OK to wait a few weeks and redraw her blood work to see if it is still abnormal. Good luck to both of you. ...Read more

See 1 more doctor answer
17

17
Blood work shows gam globulin low at 0.7 and M-spike,SPE, g/fl abnormal at 0.3. Two para protein bands in gam. Region. How serious is this?

Blood work shows gam globulin low at 0.7 and M-spike,SPE, g/fl abnormal at 0.3.  Two para protein bands in gam. Region. How serious is this?

Need more info: I am assuming that you had a serum electrophoresis performed for one reason or another. The "normal" and "abnormal" in this case can only be judged in context rather than in absolutes, so more information is necessary. Did you have a urine electrophoresis? Any other results? Free light chains? Did your doctor state that you have protein in the urine? ...Read more

18

18
What would b the cause of chronic high T cell counts, cd4, 5, 7, and 8. A T-cell beta gene rearrangement, elevated IGG, elevated LGL's, but normal CBC?

What would b the cause of chronic high T cell counts, cd4, 5, 7, and 8. A T-cell beta gene rearrangement, elevated IGG, elevated LGL's, but normal CBC?

Reason for doing it: What was the reason you got this done. In all patients we don't do T cell count, Immunoglobulin level estimation etc. What were your symptoms. Based on your answerc an give a better explanation. In any patient we do CBC- complete blood count with differential count.Only in people with suspected immunodeficiencies/hematological problems-dyscrasias is the term we use, detailed Tcell,B cell ,Ig done ...Read more

20

20
Confused by lab results.Dr thinking rheumatoid arthritis. Low hem, hemotricot, mcv,mch,mchc,creatine.High platelet,rdw,esr,c reactive protein. ?

Confused by lab results.Dr thinking rheumatoid arthritis. Low hem, hemotricot,  mcv,mch,mchc,creatine.High platelet,rdw,esr,c reactive protein. ?

You have anemia of: the chronic diseases which includes RA. Get a CCP antibody test to put aside the confusion for good. If CCP antibody is positive then your doctor probably made the right diagnosis which is RA. If you have still doubts or has queries and want to send me an e-mail click here --> https://www.healthtap.com/experts/12714048-dr-vahe-yetimyan ...Read more

See 1 more doctor answer