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Doctor insights on: Cortisol 2 Specimens

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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. ?

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. ?

Plan: It's not clear what you want to know. To explain your abnormalities we need to know your primary condition. Your doctor who know your clinical symptoms and your previous results should explain it to you. ...Read more

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For 58+ F, Hb 10.8, RBC 3.66, PCV 34, MCV 94, MCHC 31, WBC 5.4, Pt 1.8, Iron 57, TIBC 255, TSI 22, RC 1.2, Ferritin 83 indicate which type of anemia ?

For 58+ F, Hb 10.8, RBC 3.66, PCV 34, MCV 94, MCHC 31, WBC 5.4, Pt 1.8, Iron 57, TIBC 255, TSI 22, RC 1.2, Ferritin 83 indicate which type of anemia ?

Mild anemia: Assuming you've had no recent bleeding episodes, these findings could be seen in mild/early anemia of chronic disease. Hgb and Hct are only boarder line low, and iron panel appears within the reference range. Even something as simple as a particularly heavy period could cause mild anemia of this type, though. If you have a chronic medical illness, it could cause this type of anemia. ...Read more

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Alt elevated (76, 63) after 2 blood tests and increased parenchymal echogenicity on us. Nafld or nash?

Alt elevated (76, 63) after 2 blood tests and increased parenchymal echogenicity on us. Nafld or nash?

Continue workup: Now would be a great time to get really into aerobic fitness -- this is likely to reverse nash / nafld. You'll get checked for hepatitis c, wilson's, hemochromatosis, autoimmune hepatitis and a few others. Trust you're not taking meds or that they have been ruled out as causing the problems. ...Read more

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My blood test results: total bilirubin: 1.41 h ast: 40 h alt: 100 h total alk phosphatase: 43 l serum total protein: 7.1 e.R. Said hepatitis?

Let's try this...: I have only a little bit of the story you've shared. Perhaps it's time to see whether the ast and alt get back to normal after two weeks off alcohol and any not-totally-necessary meds you may be taking. If so, this is the start of a healthier life after alcohol. If not, the workup for virus infections, iron overload, wilson's, autoimmunity & need for exercise can begin. Good luck. ...Read more

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Blood: creatinine 1.80; GFR 41. Follow-up labs 48 hrs later: creatinine 1.50; GFR 53. Imm% - 1.8; imm count - .16. Wbc normal. No symptoms. 46-w-male?

Blood: creatinine 1.80; GFR 41. Follow-up  labs 48 hrs later: creatinine 1.50; GFR 53. Imm% - 1.8; imm count - .16. Wbc normal. No symptoms. 46-w-male?

Kidney down briefly?: Both are a bit high for a man in his mid-40s especially if your bodybuilding days are over. Might you have been recovering from a subclinical bout of Ibuprofen nephropathy? It's very common and causes partial renal shutdown. Drink plenty of water if you use nsaids nad consider a follow at your next regular appointment. ...Read more

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I got a blood test done and the results reflect the following: TSH .328, HDL 32, triglycerides 215, alkaline 23, and blood sugar 107. What you think?

I got a blood test done and the results reflect the following: TSH .328, HDL 32, triglycerides 215, alkaline 23, and blood sugar 107. What you think?

More information: Why were the tests done? Was specimen drawn after an overnight fast? If so the triglycerides are high and so is the blood sugar. Hdl is low. None of the findings are diagnostic of a disease, except, that blood sugar suggests a pre-diabetic state. It is best to discuss the results and treatment with the doctor who ordered the tests. ...Read more

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I had borderline high C-peptide 1.9 ml (lab norm: 0.7-1.9).I stopped taking carbohydrates and in 2 months result was 1.06.Problem or risk of diabetes?

I had borderline high C-peptide 1.9 ml (lab norm: 0.7-1.9).I stopped taking carbohydrates and in 2 months result was 1.06.Problem or risk of diabetes?

Other risk factors: Per your medicine list, you take dexamethasone. Steroids can impact your blood glucose levels, increasing your risk of diabetes. I think the change in your diet was a good thing, and seeing the commensurate decrease in your C-peptide level is promising. If you stay on a lower carb diet, your risk of diabetes will remain low. ...Read more

Dr. Al Hegab Dr. Hegab
2 doctors agreed:
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2 yr old-cough for 1 & 1/2month. Claritin (loratadine) 2 ml 1 week-cefdenir 3.5ml 10 days-bromphen 2 ml.no use. Can I use allerid 2.5 ml?have used in 2014-2.5 ml

Dr. Al Hegab Dr. Hegab
2 doctors agreed:
2 yr old-cough for 1 & 1/2month. Claritin (loratadine) 2 ml  1 week-cefdenir 3.5ml 10 days-bromphen 2 ml.no use. Can I use allerid 2.5 ml?have used in 2014-2.5 ml

Don't use more meds: Kindly see your doctor again, ask for a second opinion, it's your right, or see an allergist/Immunologist, other reasons for your child's cough can be reflux, airways hyper reactivity, again sinus infection that might need different form of antibiotics, environmental causes, like second hand smoke or pets, and other reasons, check aaaai.org or acaai.org for an allergist in your area, good luck, ...Read more

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Female 35 fasting: TSH 1.88 and T4 free 1.2 Nonfasting results 6 months ago: TSH 1.16 and T4 free 1.4 Did fasting raise my TSH? Do I have an issue?

Female 35 fasting: TSH 1.88 and T4 free 1.2 Nonfasting results 6 months ago: TSH 1.16 and T4 free 1.4  Did fasting raise my TSH? Do I have an issue?

Thyroid is normal: Both levels are normal. the difference in the numbers is not significant. Fasting will not effect your TSH level. You do not have any issue with your thyroid. ...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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Ct results fatty liver 2 hemangiomas 3 hypodense solid nodules do i need to worry? Thanks

Ct results
fatty liver
2 hemangiomas 
3 hypodense solid nodules 

do i need to worry?
Thanks

See below: Fatty liver may be metabolic problems, obesity, medication toxicity. Something may need to be corrected to make the liver more normal. Liver hemangiomas - typically not a problem if small. Hypodense liver nodules - if they are cysts, nothing to worry. If they are solid, may need follow up or further evaluation. ...Read more

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7mm round firm node on chin above jawline. 2 sub centermeter nodes at lower neck. biopsy 3 mths ago on level 2 node indicates follicular hyperplasia.

7mm round firm node on chin above jawline. 2 sub centermeter nodes at lower neck. biopsy 3 mths ago on level 2 node indicates follicular hyperplasia.

Question?: Not sure what the question is here. Sounds like the diagnosis has been made already. Pretty large lymph nodes for follicular hyperplasia. Was treatment recommended or prescribed? ...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