Doctor insights on:
Congenital Adrenal Hyperplasia 21 Hydroxylase Deficiency
35 F. rare bite cells & hypocellular marrow 15-20%. mild polychromasia & high retic. Trigeminal neuralgia & atypical hemangioma in c4 vert. Related?
Thyroid u/s rl 2.2x1.5x6.1, ll 1.8x1.1x5.1. Mildly heterogeneous exhotexture.T4free 1.3 t3total 94 TSH .63. Having many thyroid symptoms.Thyroid prob?
Not clear: No clear evidence for the causal-effect relationship between the two. PA is an autoimmue-mediated destruction of parietal cells in stomach, resuling in impairmnent of B12 absorption. Certainly it is possible that pernicious anemia may co-exist or exacerbate duodenitis via immune process or loss of balance in duodenal fluid, or anemia. But the causal-effect relationship is not well established. ...Read moreSee 1 more doctor answer
+ ANA test, severe neutropenia with large granular lymphocytes, high monocytes and lymphocytes. Osteoarthritis. Bone marrow biopsy negative. Idea?
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
2001 Hysterctomy. 5.5x3.8x4.8cm mildly complex cyst w/in rt. ovary, total size of ovary 6.0,single thick avascular curvinlear septation.3.3 simple cyst on lft, Age 49. Calcium,ser-10.3; Fsh,133.6
Talk to your doctor: The size of your right ovary is about twice the size of a normal ovary and likely most of that is taken up by the cyst. The presence of a thick septation suggests the possibility of more than just a simple cyst but does not confirm anything. Your labs don't really confirm anything and you may need more imaging. Your doc may want a Ca125 test. You need to have a frank conversation with him/her. ...Read more
For 57+ F with Hb 10.6, RBC 3.6, Pt 1.2L & ESR 51 while normal MCV & MCHC, does Ferritin 35 [4 - 204] indicate iron deficiency or haemolytic anemia ?
Not at all: In CD your body makes antibodies that attack the gut tissue. These antibodies do attack the thyroid & do not cause goiter. The fact that you have CD makes you more prone to quirks in your immune system such as an immune attack on your thyroid gland. People should never self label as CD, but have the tests done and medical follow up because of the added risk of other autoimmune diseases or cancer. ...Read moreSee 1 more doctor answer
K elevated suspect hemolysis of sample pres. Pat. No lab review the significant abnormalities the mild lower protein diet & mild monocytosis.Means ?
Incomplete info: The information you provided is not readily understandable. Please note that all lab results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. ...Read more
Yes: Hyperthyroidism can cause elevated liver enzymes. Drugs used to treat hyperthyroidism can also cause liver enzyme elevation. Discuss with your doctor what is causing what. Sometimes the simplest thing you can do is to treat the hyperthyroidism (curative) and see what happens to the liver enzymes. In all cases, you must follow the enzymes for trends. ...Read moreSee 1 more doctor answer
Are these labs cause for concern? Calcium 8.7 L
Creatinine 0.61 L
Anion Gap 13.9 H
Epithelial Cells- Many
May be WBC: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, I trust the WBC 10-20 was in urine. If so, it should be repeated with proper urine collection of mid-stream specimen, after cleaning the external genitalia. Your doctor can advise on proper collection technique. Others are okay. ...Read more
Chloride 94.9 L, Anion Gap 16.1 H, AST 58 H, Immature Granulocytes ABS 0.01 H,Ketones urine SMALL NEG. A, specific gravity urine <1.005 L. ?
Yes Hormonal Excess: Pheochromnocytoma can be functional in which case it produces excess of adrenaline leading to high blood pressure and episodes of anxiety/nervousness. I do not think there is too much of Dopamine excess problem. You should get to see an endocrinologist. To help you out. ...Read more
No: There is no association between the two. ...Read more
Can my heterozygotes status of congenital adrenal hyperplasia (21-Hydrolaxe deficiency, salt-wasting) explain hirsurtism & symptoms like polydipsia?
Maybe: Hydroxylase deficiency is actually a continuum, and there are many alleles. A workup is probably not worthwhile. Manage unwanted body hair with electrolysis or lasers -- you're doing yourself a favor. If your urinalysis (chemical, sediment), renal functions (BUN, creatinine) and concentrating ability (SG >1.020) while thirsty) are normal, I would not recommend further studies. ...Read more
Can my carrier status of congenital adrenal hyperplasia (21-Hydrolaxe deficiency, salt-wasting) explain my high basal cortisol?
No: Spot "basal cortisol" levels mean nothing except in context. They help rule some things in and some things out. The highest basal cortisol levels have been found in soldiers in the battlefield and medical students in exams. Ignore all "pop" sites relating to pituitary / adrenal disease and remember that reference ranges are set so that many healthies fall outside on either end. ...Read more
See below: It is a collection of genetic conditions that limit your adrenal glands' ability to make certain vital hormones. In most cases of congenital adrenal hyperplasia, the adrenal glands don't produce enough cortisol. The production of two other classes of hormones also may be affected, including mineralocorticoids (for example, aldosterone) and androgens (for example, testosterone). ...Read more
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