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Doctor insights on: Chromosome 13 Abnormality

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41yo F, feeling crappy 6 weeks, onset of unexplained hives, labs 8/25/16 WBC 12.5 , RBC 5.36 Hgb 15.7 Hct 49.6 MCH 29.3 MCH 31.7 RDW 13.3 RDWSD 45.0?

41yo F, feeling crappy 6 weeks, onset of unexplained hives, labs 8/25/16
WBC 12.5 , RBC 5.36 Hgb 15.7 Hct 49.6 
MCH 29.3 MCH 31.7 RDW 13.3 RDWSD 45.0?

Need medical examina: You need to see a doctor for medical check up to find the cause of Hives. It may be an allergic reaction to a medication or any chemicals in your environment. Your WBC count is also high, but we need to know the differential count, a breakdown of WBC into its component cells. You may need to see an allergist if the hives do not go away in a few days. Specialized tests(complement levels) may help ...Read more

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EKG sinus rhythm rapid, prem ventri complexes, doubles of prem ventri complexes, doubles of aberrantly conducted complexes & more what does it mean?

EKG sinus rhythm rapid, prem ventri complexes, doubles of prem ventri complexes, doubles of aberrantly conducted complexes & more what does it mean?

Abnormal EKG: Lots of people have PVCs and some have bigeminy ( doubles) - but the abberant complexes are not usual. EKGs are difficult to read and a cardiologist should review the EKG to ascertain what the irregular beats are ( if it is truly abberant). May do further studies to see where the irregularity is coming from, if abnormal conduction may ablate, use medication or pacemaker. F/u/ w/ cardiologist ...Read more

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2 early MC, heartbeat seen 2nd case, no live birth, turner's synd in fetus 2nd case, karyotyping & immunological tests normal. Way fwd? More tests?

2 early MC, heartbeat seen 2nd case, no live birth, turner's synd in fetus 2nd case, karyotyping & immunological tests normal. Way fwd? More tests?

Maternal fetal medicine: specialist is what you need with your high risk pregnancies, if you don't have one available in your area please seek advice in a teaching hospital ...Read more

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Age 39 Smoker Male, Blood Sugar Normal; TIA Stroke 1 week back.Taking Ecosprin AV75. MRI Brain: Tiny ischemic foci on both froantal lobe. Any risk?

Age 39 Smoker Male, Blood Sugar Normal; TIA Stroke 1 week back.Taking Ecosprin AV75. MRI Brain: Tiny ischemic foci on both froantal lobe. Any risk?

Yes..serious stroke: Your info suggests brain vascular problems that are causing ischemia (reduced blood flow to brain tissue) which until now has been mild or transient but unless you quit smoking , among other preventive measures, you risk more serious ischemic brain injury or stroke ...Read more

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37 year old woman 29 week of pregnant ,high grade fever last 1 week,plecenta slightly displace abnormal fetal movement hemoglobin level low lDh level?

37 year old woman 29 week of pregnant ,high grade fever last 1 week,plecenta slightly displace abnormal fetal movement hemoglobin level low lDh level?

High fever, pregnant: This could be very serious. You require immediate medical attention with high fever for over a week and pregnant. Can you see a doctor, or go to a hospital or clinic as soon as possible. ...Read more

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Is this trisomy 22 caused from one of the parents havinga genetic disorder?

Is this trisomy 22 caused from one of the parents havinga genetic disorder?

22 or 21 whatever ?: Trisomy's are causes by an abnormality at conception. The egg & sperm are both expected to bring one chromosome from each of the parents 23 pairs.If an extra comes along in the egg or sperm (usually egg), the joining produces 22 pairs & one triplet or trisomy.Chromosomes carry the genes. Too many genes confuse the cell. Some lump this with gene disorders because gene docs follow the patients ...Read more

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Ecg results - sinus bradycardia, short pr interval, lateral infarct- age undetermined and inferior st-t changes nonspecific? What does this me

Just an EKG: Ekgs aren't the last word. Sinus bradycardia: your hrt conducts impulses from the normal location at rate. ...Read more

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Dear Doctor, 43 y/o, male. RBC count was 4.45 million / mm3 in July and Dec. Other CBC tests are normal. Any clinical significance or concern ?

Dear Doctor,

43 y/o, male. RBC count was 4.45 million / mm3 in July and Dec. Other CBC tests are normal. Any clinical significance or concern ?

Normal can vary. : Your number of red cells can fluctuate based on various things including fluid intake. If hemoglobin and cell volumes are still normal there is little worry in these slight deviation from normal. ...Read more

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Pat.With dm and ht present with ischemic cva(> 1/3 MCA distribution) ECG show af. When we start anticoagulant?

Pat.With dm and ht present with ischemic cva(> 1/3 MCA distribution)  ECG show af. When we start anticoagulant?

Good question: There is multitude of factors affecting anticoagulant therapy, patient's current physicians will analyze these factors and they should make the decision. Good luck. ...Read more

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In 2011 creatine level of 1.36, 2012 it was 1.49. Yesterday results was 1.38, and my GFR 79. NO protein in urine. Am worried. is this normal?

In 2011 creatine level of 1.36, 2012 it was 1.49. Yesterday results was 1.38, and my GFR 79. NO protein in urine. Am worried. is this normal?

Not Ideal: Your renal functions are not ideal. But you failed to tell us the most important fact about your health: what is your blood pressure? Is it high or borderline? And should you be on medication to control your blood pressure? ...Read more

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Triglycerides 453 hi. Glucose 132H.Bun 26H. Hemoglobin 11.7 low. Hematocrit 37.5 L. Mchc 31.2 L. RDW 15.5 H. MICROALB CREAT 240 H. VitD 22 L. Father60 and Diabetic . Rest of Cbc and othere normal. What could this be?

Triglycerides 453 hi. Glucose 132H.Bun 26H. Hemoglobin 11.7 low. Hematocrit 37.5 L. Mchc 31.2 L. RDW 15.5 H. MICROALB CREAT 240 H. VitD 22 L. Father60 and Diabetic . Rest of Cbc and othere normal. What could this be?

Need good care: You need to be under the care of a competent physician who can keep your diabetes under control and find the cause of your anemia, which i suspect is due to iron deficiency from blood being lose somewhere. We can't solve it here. If you have a specific question, let us know. ...Read more

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+ Antimitochondrial M2 antibodies w/ 4previous elevated ALP's. Most recent ALP normal. Still suggestive for PBC?

+ Antimitochondrial  M2 antibodies w/ 4previous elevated ALP's. Most recent ALP normal. Still suggestive for PBC?

No: The diagnosis of PBC is made through liver biopsy. The other best tool is the biliruben. Taken together they give a diagnosis and prognosis for survival. As you know PBC is though to be an auto immune disease. ...Read more

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Had sono of neck, level 5 perform found a subcutaneous hypoechoic nodule consist w/ lymph node meas 1.1 x 0.2 x 0.9 C.M. Fatty hilum observe? What mea

Had sono of neck, level 5 perform found a subcutaneous hypoechoic nodule consist w/ lymph node meas 1.1 x 0.2 x 0.9 C.M. Fatty hilum observe? What mea

It is not serious: Observe means it can be watched and monitored for any further growth in size. if it increases in size such that you can feel it, then it should be removed or a biopsy done to find out the cause and rule out cancer in the lymph node. ...Read more