Doctor insights on:
Elevated Maternal Serum Alpha Fetoprotein
Slightly elevated beta fraction from serum protein electrophoresis. Beta 1.07 (high) (0.52-0.98) increased beta fraction, no monoclonal or polyclonal gammopathy seen. Immunofixation normal.
Inorgan.Phosphate0.77, serum total protein63, serum globulin14, all slightly low. Norm. Calcium &albumin.Tsh9.25, known hypothyroidism. Further tests?
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
Blood results: alt/sgpt serum level=40 iu/l, serum alkaline phosphatase=43 iu/l, serum bilirubin level=2 umol/l, serum urea level=2.3 mmol/l. Normal?
Normal: It is very important to know why these were drawn in what sounds to be an otherwise healthy 19 year old. Did you expect to find something wrong? ...Read more
Dehydration and labs: Dehydration can raise some blood values. Most notably, sodium, chloride, BUN and creatinine are elevated due to less water in the blood. Likewise, Alpha fetoprotein can also be elevated and you would have to see how how the elevation is and how the severe the patient's dehydration was at the time the blood sample was taken. Ask the physician who ordered the test for her input. ...Read more
Different diseases: In pregnancy, elevated alpha fetoprotein levels in a woman's serum can indicate fetal abnormalities, like neural tube defects (spina bifida) or ventral wall defects like omphalocele. Outside pregnancy the levels can be elevated in liver cancer or cancer of the germ cells (ovary, testes). ...Read more
Total protein 8.3, serum albumin 4.2 , serum globulin 3.8, albumin globulin ratio 1.2.. Is this abnormal?
Abnormal labs: It would be helpful that for the labs mentioned above. If you. Can find the normal range or reference range and list it than our answer can be more educated and helpful. The reference range does vary from one lab to another. ...Read more
???: I am not sure about a correlation with blood worm and this antibody? Anti-histone antibodies are autoantibodies that are found in 50%-70% of patients with systemic lupus erythematosus (sle), but I am unawre of a correlation with blood worms? Posibly a pathologist may know of a correlation. ...Read more
No worries: This is of no consequence. I would ignore it. ...Read more
Serum free light chain test shows normal kappa (8.7mg/dl), low lambda (3.80), high kap/lam ratio (2.31). Serum $ urine electrophoresis show no monoclonal protein, nor does serum immunofixation. Likely MGUS, myeloma, or admyloidosis? CBC/met panel ok.
False positive rate: There is 30% or so false positive rate of kappa/lambda ratio in people without MGUS, myeloma or other disorders. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. ...Read moreSee 1 more doctor answer
Diagnosis needed: Serum creatinine is affected by protein intake, gender, age, race, muscular build, and renal function. A rising creatinine is always of concern. "normal" on lab tests is generally less than 1.2 mg/dl. Renal function can be estimated with a more complex formula or measured with a 24 h urine collection. See your internist for further evaluation. ...Read more
What causes high glucose serum, calcium serum, albumin serum, total cholesterol, LDL cholesterol calc, vitamin b12, but low sed rate westergren?
Means nothing alone: As a pathologist who's devoted a lifetime to lab medicine, my teammates and i are always reminding people that lab results mean nothing whatever in the absence of a history & physical exam. Please don't take this the wrong way, and i appreciate your proactive approach to health. But no one can do anything with this. Ask instead, "could high Albumin out-of-range be from dehydration?" etc. ...Read more
Plasma Vitamin D <4.2 ng/mL
Serum Vitamin B12 -197
Serun Alkaline Phosphatase-356
Need Vits D3 and B12: You are severely deficient in Vitamins D3 and B12. I recommend 10,000 IU of Vit D3 per day, and 1,000 mcg methylcobalamin each day. Your D3 levels should be 60-70 ng/dl. ...Read more
Increased tesing: An elevation of the Alpha fetoprotein test should alert your doctor that there may be an increased risk of genetic abnormalities such as down's syndrome in the baby. Pregnant women are offered a more detailed ultrasound test looking for signs of genetic problems & are usually offered an amniocentesis which lets you know the chromosomes of the baby. Down's is also known as trisomy 21. ...Read more
What causes elevated calcitriol (108.5 pg/mL) with elevated serum Ca, normal PTH. No granuloma disease.
Measure 25(OH)D: Calcitriol, 25(OH)2D, is usually elevated in granulomatous diseases such as sarcoidosis, in lymphomas or in primary hyperparathyroidism, as you suggest. Calcitriol is quite influenced by intestinal absorption of calcium; 25(OH)D is the vitamin D metabolite usually measured (not DI-hydroxy/2D). Add a 25(OH)D measurement & work with your doctor to pursue the other causes of hypercalcemia. Good luck! ...Read more
Multiple causes: BUN is a breakdown of ingested protein, but becomes elevated compared to creatine, in cases of increased catabolism (breakdown). Such things as a high protein diet, use of some steroids, some infections, or volume depletion may commonly raise BUN levels. In a hospital setting, tube feeding, tpn, GI bleeding, infections, decreased flow to the kidneys, and use of steroids are frequent contributors. ...Read more
What does high microalbumin/ creatinine 165.82, high protein/creatinine ratio 0.31. Urine microalbumin 13.1. And total protein25.0 indicate?
What are these tests done for?
Hb, tc, ast, alt, bilurubin total, direct. Creatinine, quantitative CRP assay and rbs.
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