Doctor insights on:
Went to dr for clumsiness.I had hyperreflexsia legs/arms jaw jerk present positive hoffman's sign babinski present & clonus. Neuro. ordered MRI. ??
Dr ordered MRI: What is your question? Is your question why the doctor ordered an MRI? Please state the reason the doctor gave for ordering an MRI, and also, an MRI of what? Brain? Heart? Left foot? If you did not ask the doctor the reason, please state why not. ...Read moreSee 1 more doctor answer
Contact him: This is not a legal forum, you or your lawyer contact him ...Read more
My doc sent me for the Celiac panel, Gliadin & Transglutaminase were normal but IGA serum was 424, doc said the norm is 90, what does this mean?
Nonspecific test: IgA is the bodies first line of defense for many infections at the mucosal surfaces. An elevated IgA is often associated with inflammation or infection. The test is very nonspecific alone and I'd advise you to continue to follow up with your physician as per their request for the work up of your symptoms. ...Read more
Went to dr for clumsiness I had hyperreflexia legs/arms +jaw jerk +hoffman's sign +babinski & clonus. Neuro ordered MRI of brain What is she looking 4?
Broad ddx: There may be a bilateral cortical/subcortical brain disruption and MRI could help identify a potential cause based on the pattern of abnormalities. For ex: adult-onset leukodystrophy would show extensive demyelination of the white matter sparing the periventricular white matter vs MS vs Cerebral Autosomal-Dominant Arteriopathy, and work-up is different for each disease. ...Read more
Yesterday at ER,EKG normal,troponin normal,CPK high,CKMB normal,they send me home.Today made lab test by myself,Trop normal,CPK and CPKM elevated?
Mini-stroke? Arrival to ER ..My only ability was hear and half vision. 2 test-blood showed. Potassium .2 low(gave me 2 pills EKG good.Was sent home!
Blood sugar: The question is if you were fasting for 8-10 prior to the blood test. If you were fasting then your CO2 could be elevated just because of volume depletion (not drinking water), your blood sugar is elevated to the point of pre-diabetic, why don't you repeat the test in 4 weeks or so and discuss the result with your provider. ...Read moreSee 1 more doctor answer
Daughters urinalysis came back with high protein (30), WBC 3-5, and urobilinogen 2.0. They did a protein to creatinine ratio which was 63.3. Her?
Correlation required: Mild proteinuria like this does not necessarily indicate serious illness, and a few WBC's may be consistent with health or reflect contamination. Urobilinogen 2.0 is also borderline (1.0 is very normal). The next move might be to check whether this is simply orthostatic proteinuria. My first concern is an interstitial nephritis from her arthritis meds. ...Read more
Try a : Google or bing search of your missing doctor. ...Read more
Up back pain , thinning hair , cold hands. Ana+ spec patrn. 1;640. Cbc ok. Metabolic ok. Serum protein ok. Lupus panel negative. Rheum drs dismissed it.
ANA: Get a 2nd opinion. Maybe the doctor wasn't listening to your problem list. ...Read more
Immunofixation, Serum FAH = Monoclonal IgG kappa immunoglobulin. Beta FAH = 10.5% Abnormal band, immunofixation to follow. I'm IgA deficient too. ??
Possibly: If I am understaning this right you have a monoclonal protien band? The most important next steps here would be to identify the band (immunofixation) and then perfrom quantitvaive immunoglobulin levels. IF there is a monoclonal band, you may very well have reciprocal depriciation of alternative immunoglobulins and IgA deficiecny with an IgG monoclonal protein is possible. ...Read more
Urine chemistry. MA RANDOM URINE 4.7H ref rng<1.9 mg/dl Comments. =1= results is expressed in ug microalbumim/mg creatine help interpret this.
Kidney function: Microalbumin is a test used to measure the progression of kidney damage in patients who are at risk. Ex. Patients with diabetes, high blood pressure. In patients with normal kidneys, albumin is kept inside the body. If its found in the urine, it means the kidney is damaged and can't hold the albumin in. Taking meds like advil and ibuprofen hurt your kidneys as well. Keep your pressure controlled ...Read more
Immunofluorescence negative but mpo-anca < 2 <20 ru/ml and pr3-anca 3<20ru/ml with IgM kappa monoclonal protein in beta2. What does this mean?
Serum immunofixation says IgM kappa in beta2, but urine immunofixation says small discrete band noted in gamma region, no m protein. Is this mgus?
Dr. Rick koch.In reference to the board cert in echo, you think its completely fine then that mine was read by a non boarded echo, but boarded cardio?
Completely fine: No hesitation.Get a more detailed answer ›
Hello went to ER and did urine test , the results papers they gave me was urine blood(poc) =small , they said everythin looks fine, i wantto know meanin?
Probably normal: A "dipstick" urine test is very sensitive to hemoglobin in the urine, and even a few red cells will register as "positive" for blood. The key would be to see the "microscopic" results (not always done in the lab, depending on indications). Up to 10 rbcs per high power field is normal for a female, and usually needs no further evaluation. For peace of mind, it could be repeated later, but probably. ...Read more
What do these test results mean? CO2 20 LO, ALT 36 HI, MPV 12.1 HI, Ketone, Urine 3+,80 mg/dL ,*Leukocyte Esterase MODERATE *, WBC, Urine 5-10 HI
Discuss results: The Dr who ordered the test needs to provide feedback to you in a way that clarifies the impact on your Dx and Tx options. It should make sense to you or it is not a finished piece of work. Get a consult and perhaps bring someone along to help you understand and remember the details. ...Read moreSee 1 more doctor answer
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
Serum -tiny IgM kappa monoclonal protein b2 region, urine - tiny IgM k paraproteinemia in gamma region. Was a mistake made or is lab normal?
Monoclonal: •multiple myeloma (g>a>m>e, d) •primary macroglobulinemia (waldenstrøm’s, igm) •monoclonal gammopathy of undetermined significance (mgus) (converts at 2% per year to myeloma) •miscellaneous conditions •(converts at 2% per year to myeloma) these all have to be thought of by the hematologist. ...Read more
4 y old had vasovagal attack pediatric ask for CBC ECG EEG urine k na ca li every thing was normal except li <0.3 & ionized ca 4.2 he ask psych.Advi?
Syncope?: When you say "vasovagal attack" i assume that you mean syncope (fainting). Vasovagal syncope is not typical in four years olds, and more typically presents after the onset of puberty. There are many causes of syncope potentially, some serious like heart disease or seizures, and some not so serious like breath-holding spells. The most important step is to rule out serious causes of syncope. ...Read moreSee 1 more doctor answer