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Doctor insights on: Pt And Inr Values

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Dr. Afshine Emrani
276 doctors shared insights

Inr (Definition)

Could mean interventional neuro radiology which is minimally invasive field, or international normalized ration which is a lab ...Read more


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Normal pt high ptt means?

Normal pt high ptt means?

See below: Could be normal such as pts with lupus anti-coagulant or a bleeding disorder ( von willebrand ) ; rec go see a hematologist to eval. ...Read more

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Sed rate 88, anemic, high neutrophils low lymphocytes, mpv. Ptt inr normal. renal stenosis. Is aspirin/plavix/pentoxifyllin/lipitor ok for blood flow?

Sed rate 88, anemic, high neutrophils low lymphocytes, mpv. Ptt inr normal. renal stenosis. Is aspirin/plavix/pentoxifyllin/lipitor ok for blood flow?

May be but: appears you have a complex medical problem. Your physician is going to be able to answer this better than we can because your physician has all your background information. The medicine you are can help improve blood flow and sometimes people depending on their clinical status might even require an acquaintance. But there's no way that I can say that with the information you've given us. You nhey appears you have a complex medical problem. Your physician is going to be able to answer this better than we can because your physician has all your background information. The medicine you are can help improve blood flow and sometimes people depending on their clinical status might even require Halekuai cons. But there's no way that I can say that with the information you've given us. You need to go to one who knows you best your physician. ...Read more

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My lab results were normal for bun and creatinine however bun/creatinine ratio was high?

My lab results were normal for bun and creatinine however bun/creatinine ratio was high?

Possibly Dehydration: Thank goodness, your kidney function is normal. But any increase bun/creatinine ratio, typically > 20 could mean that you are dehydrated. ...Read more

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Pt in her 70s with past DVT, now off of Coumadin, (warfarin) but with slightly high protein C level. Do I need to anti-coag, further testing?

Pt in her 70s with past DVT, now off of Coumadin, (warfarin) but with slightly high protein C level. Do I need to anti-coag, further testing?

No-Sigle DVT/Active: If DVT was Post Op or other trigred events like driving/Flying/long distance, Can stop the Coumadin (warfarin) after treating for 3 to 6 months. ( no HRT?) If there are co morbid conditions like Physical disability and recurrent DVT, or Smoker: Yes Needs long term Rx. If No risk factors and can take ASA, it is an option. Now Xeralto can be an option instead of Coumadin (warfarin). Monitor Protein C and S level. ...Read more

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Dr.said my blood work was fine but globulin was high at4.4(norm 2.0-4.0)A/G ratio was low at .9(norm 1.0-2.4)Total protein and albumin normal.This ok?

Dr.said my blood work was fine but globulin was high at4.4(norm 2.0-4.0)A/G ratio was low at .9(norm 1.0-2.4)Total protein and albumin normal.This ok?

Repeat the test.: Your albumin/globulin ratio will be low with a normal albumin and high globulin, since it is simple a ratio of tests. Higher globulin may mean a chronic inflammatory or infectious disease or condition, leukemia or other bone marrow disease, an autoimmune disease such as lupus or rheumatoid arthritis, liver or kidney disease. In your case, the globulin may be elevated due to a past cold or virus. ...Read more

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My prothrombin time is INR 1.3 with normal aptt and platelet counts. Do I have liver failure? Normal ast, alt, alp and bilirubin. Burns right stomach

My prothrombin time is INR 1.3 with normal aptt and platelet counts. Do I have liver failure? Normal ast, alt, alp and bilirubin. Burns right stomach

Probably not: The slight elevation in the inr with normal labs for the rest of your liver functions suggests you don't have liver disease. The burning could be coming from an ulcer, or gastritis, or esophagitis. The body doesn't do a good job of localizing pain coming from the internal organs, so where you feel the pain may not be where it is.. Follow up with your doctor to check out different causes. ...Read more

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Lab results show high Bili total (1.2mg/dL) and high albumin (5.2 g/dL) and low vit D (18.8m=ng/dL). My Dr was only concerned about the Vit D level?

Lab results show high Bili total (1.2mg/dL) and high albumin (5.2 g/dL) and low vit D (18.8m=ng/dL). My Dr was only concerned about the Vit D level?

Maybe nothing?: I agree with your doctor that the vitamin D needs to be addressed. I would typically recommend an OTC vitamin D3 supplement...probably 2000 a 5000 IU daily with a meal. The bilirubin may mean some slight liver stress...Even moderate alcohol intake, for example. The albumin? Probably won't stay elevated. Recheck labs in 3-6 months IMO. And try milk thistle for liver health perhaps? Good luck! ...Read more

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Albumin 2.79g/dl , globulin 4.38 g/dl , a/g ratio is 0.64 g/dl. Rest of the liver function bllod test within range. Have hep c n cirohsis. Advice?

Hepatologist: Your test results show lack of acute inflammation in the liver, but the presence of hepatitis c that has already caused cirrhosis and decreased liver function means your management and possible treatments should be managed by an expert - a hepatologist or infectious disease specialist. ...Read more

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High microalbumin and microalbumin/creatinine lab results with good b.P. And kidney function. Why high?

High microalbumin and microalbumin/creatinine lab results with good b.P. And kidney function.  Why high?

High microablumin: Your microalbumin/creatinine being high signifies that you have proteinuria. See a nephrologist to have a 24 hour urine collection for creatinine clearance and protein to see how much protein you have in your urine for 24 hours and to see what your kidney function is. Blood work will be needed as well to diagnose the cause of your proteinuria. Go to a nephrologist to answer your question. ...Read more

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Low ALT and AST and high total Neutrophils and low lymphocytes ..LIVER disease stage 2-3 normal rest labs. otherwise healthy ?

Low ALT and AST and high total Neutrophils and low lymphocytes ..LIVER disease stage 2-3 normal rest labs. otherwise healthy ?

?virus: Low lymphocyte count can occur with viral infections or the taking of corticosteroids. Your hepatologist or gastroenterologist is best qualified to answer your questions as he/she would know all your findings. ...Read more

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Can certain medications or bruises create your d dimer to be elevated? Mine was 278 mg/nl. Chest/lung ct, echo, cbc, and platelets were normal.

Can certain medications or bruises create your d dimer to be elevated? Mine was 278 mg/nl.  Chest/lung ct, echo, cbc, and platelets were normal.

High D-Dime: D-dimer is a good test to rule out dvt. But when it is high it does not mean much and in reality we do ct, doppler... And we do not find any specific causes. D-dimer level in 200 range is in lab error range. The level depends on kidney function, cut and bruises, pregnancy, you name it. If you had normal ct and doppler you should not be worried anymore. ...Read more

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If hemoglobin and hematocrit levels are low, will platelet level also be low?

If hemoglobin and hematocrit levels are low, will platelet level also be low?

Not always: But if low hb, low hct are associated with low platelet , the it needs to be more evalauted as the conditions could be contributed by us such as alcohol use , or conditions of the bonemarrow from defective synthesis of precursor cells -called myelodysplastic syndrome, a bm failure blood has 2 types of cellular elements-red blood, white blood and platelets and their precursors come from bone marrow. ...Read more

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Diabetic patient does need HB level preoperatively ? And cardiopulmonary disease does need preoperative HB level ! Which one has priority for HB test

Diabetic patient does need HB level preoperatively ? And cardiopulmonary disease does need preoperative HB level ! Which one has priority for HB test

Pre op HbA1c: 23F asks pre op HbA1c in pt with pulmonary dis vs DM which takes priority. Ans: Anyone with DM needs blood glucose before op. HbA1c tells you what sugar has been for last 3 months. You need to know what glucose is before surgery. ...Read more

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Hemoglobin drops 1 pr after every blood test. ferritin high tibc iron normal tsat 12%. hem says no iron def? pt ptt slightly prolonged. further tests?

Hemoglobin drops 1 pr after every blood test. ferritin high tibc iron normal tsat 12%. hem says no iron def? pt ptt slightly prolonged. further tests?

Follow MD advice: 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, do you have any symptoms? It is the patient who needs to be treated, not lab results. ...Read more

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Would regular two month blood donation affect bilirubin, albumin and other liver function bloodwork? wouldnt the blood loss skew the LFT numbers?

Would regular two month blood donation affect bilirubin, albumin and other liver function bloodwork? wouldnt the blood loss skew the LFT numbers?

No: http://www.bloodcenters.org/blood-donation/facts-about-blood-donation/ The major side effect from donating blood frequently is low blood iron and anemia. LFTs are not likely to be affected. See the site above information about blood donation. ...Read more

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2yrs of CBCs show low fluctuating (< reference ranges) on WBC, Platelets, and Ferritin (iron serum norm) and high (13) monocytes. Should I be concerne?

2yrs of CBCs show low fluctuating (< reference ranges) on WBC, Platelets, and Ferritin (iron serum norm) and high (13) monocytes. Should I be concerne?

Yes. Here's why.: Reference ranges are set so that a few percent of healthies fall outside on either side. Counts, especially whites, fluctuate wildly even from hour to hour. While low serum ferritin requires an explanation (are you sure you do not have colon / stomach cancer?), what's most concerning is that your and your personal physician have not chatted about labs despite your interest. Please do it soon. ...Read more

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Last labs showed high iron saturation at 55%, normal total iron, and normal iron binding capacity. Low wbc. Should I be concerned about these? Currently on plaquenil, sulfasalazine, and Remicade (infliximab) infusions for Lupus/RA.

Last labs showed high iron saturation at 55%, normal total iron, and normal iron binding capacity. Low wbc. Should I be concerned about these? Currently on plaquenil, sulfasalazine, and Remicade (infliximab) infusions for Lupus/RA.

How low?: It depends on how low the WBC is and whether this has been a persistent findings. You will need to find out the cause for the low WBC which may be the result of a drug reaction or just part of the Lupus/RA. The major risk is increased susceptibility to infections when the WBC is very low. Talk to your rheumatologist. ...Read more