Doctor insights on:
Elevated D Dimer Differential
D-diner is a breakdown product from blood clots. It can be found elevated in certain conditions like pulmonary embolus (blood clot which travels to the lung) deep venous thrombosis (blood clot in deep vein of legs usually) and disseminated intravascular coagulation (diffuse clot formation from severe infection which ...Read more
Not really: D dimer is a marker of clotting. Blood clots in the legs and lungs are associated with elevation. It will also go up with injuries and surgery. Blood pressure may go up as a complication of a blood clot in the lungs or because of the injury or surgery, but elevated BP should not cause increase in d dimer, or vice versa. ...Read more
3 separate things: ANA is a screening test. A positive result only indicates more testing might be needed to look for autoimmune diseases. Crp means something somewhere in the body is inflamed for some reason (and yes it really is that vague). Low vitamin d means you needs more vitamin d in the diet or in the form of vitamin pills. ...Read more
Total ck, sed rate, ana, ip ace, serum protein panel normal but gamma globulin (.6) cortisol am (30.8)
Hx of low vit d and K.
What could this mean?
Not much-: An important thing to remember is that lab results are not useful unless there is a clinical context. Advice is based on focusing on the patient, not the numbers. Though you mention a history of low vit D and K, did symptoms exist when the labs were drawn? Why were they drawn in the first place? Otherwise, it is best to ask your ordering doctor what the results mean. ...Read more
Showing elevated d dimer.1-.57, 2, one month later 0.98. No pe present after ct. Wide RDW and elevated neutrophils, w/ norm wbc. Any clue?
What could cause a persistently elevated serum calcium (10.4), vitamin d deficiency (19.7), but low pth (12)?
Vitamin D: Of 19.7 is a disaster since it should be between 60 and 80. I suspect that is the bottom line cause. ...Read more
What is implication homogeneous ANA 1:320, compliment 4 high 44, sed rate and c-reactive protein often elevated and vitamin d low?
Increased aldolase, complement c3/c4 serum, sed rate, c-react. Protein, beta globulin, monocytes, bun/creatin low mcv-mch, vit d-possible causes?
Complicated: When i was doing clinical medicine, these were collectively sort of the flags for sarcoid disease but I am not saying that's the case here. This is because sarcoid is a diagnosis of exclusion so the advice is to rule out other diseases with additional diagnostic tests which can be done by a primary care physician or rheumatologist. ...Read more
Perhaps: The d-dimer is a fibrin degradation product (or fdp) which represents a small protein fragment in blood after a blood clot is broken down. The value can be used to test for clotting or thrombosis problems. However, a single value or a value in isolation should not be used. Elevations may suggest a clotting problem. ...Read more
Seek cause: Vitamin d deficiency is very common today & may explain the high alk phos in an adult; it's usually due to misguided "healthy" lifestyles avoiding sunlight and vitamin-d enriched dairy products. Anemia is more worrisome and always requires a real medical workup; nutritional iron deficiency is rampant in our world but other causes must be sought as well. Good luck & stay proactive. ...Read more
I have an elevated sedimentation rate, elevated white blood cell count, elevated absolute neutrophils, elevated absolute lymphocytes, & low iron level?
How do you FEEL?: If the white cell values are not extremely out of range, and all are well formed, I would not worry about them. Iron is more worrisome as even without anemia, low values can war of poor nutrition or bleeding from an uncertain or tumor. Nobody here can really tell you much more than that we are glad you are amtaking an active role in understanding your health. ...Read more
Crp/sed rate norm 1 wk prior to out pt proced. Crp esc to 300 with hi d dimer. Admitted . diangosis multi org serositis/poss clot. history sle. Exp pot clot dx?
See details: I am not sure what you are asking. It sounds as if you have experienced a lupus flare. You were also likely tested for clotting disorders associated with lupus. Do you see a rheumatologist. If not, do so. If you do, any questions should be discussed with that doctor. ...Read moreSee 1 more doctor answer
Testing for AL amyloid. SPEP shows no M-spike but mildly elevated total protein & A/G ratio (2.7) due to high albumin. Globulins well within normal range. Worrisome? Serum/urine IFE &marrow biopsy ok, but elevated free K/L ratio due to low lambda.
Recent labs showed high platelets (416), high iron (148), high tibc (475), but a low normal ferritin level (12). Is this iron deficiency?
Suspect so: If the serum iron is in micrograms/dl, then this is not high but within the normal range, as it can be in iron deficiency in which the patient has perhaps taken an iron tablet or eaten steak recently. If the units for TIBC are micrograms/dl, then TIBC is distinctly high and this speaks for iron deficiency in any case. Don't treat iron deficiency without seeking a cause. ...Read more
Recent labs showed high platelets high iron high tibc low normal ferritin level of 12 is this iron deficiency ?
Likely: The best test for iron deficiency anemia (ida) is ferritin. Sometimes when there is inflammation (an possible associated anemia of chronic disease/inflammation, the ferritin may increase as an acute phase reactant). The "gold standard" for diagnosis is a bone marrow biopsy, but rarely needed. High platelets are also associated with ida. Treatment should improve platelets and ferritin. ...Read more
Enlarged carotid rhs w/ elevate psv
ana speckld pattern (1:40) low titre +ive
ena panel -tive
elevated liver enzymes
Autoimmune Disorder : The ANA speckled pattern, combined with the anti dna (was it double stranded?), the negative ena, and the elevated lfts, point to a connective tissue disorder (it may be mixed) such as lupus, sjigrens syndrome, scleroderma or poly myosotis. Other more specific tests can rule these in or out. Thyroid disease and chronic viral infections can also be at play. Your doctor will continue the search. ...Read moreSee 1 more doctor answer
Inorgan.Phosphate0.77, serum total protein63, serum globulin14, all slightly low. Norm. Calcium &albumin.Tsh9.25, known hypothyroidism. Further tests?
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