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Doctor insights on: Purkinje Cell Yo Ab Scr W Reflex

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Epstein-barr tst rslts - what do they mean? Ref rng <0.91, VCA ab in rng, VCA ab IgG 4.46 out +, nucl ag (ebna)(igg) >5.00 +, cyto ab (igg) 3.91 +

Epstein-barr tst rslts - what do they mean?  Ref rng <0.91, VCA ab in rng, VCA  ab IgG 4.46 out +, nucl ag (ebna)(igg) >5.00 +, cyto ab (igg) 3.91 +

Possible exposure: Igg positive antibodies which you have, indicate a past infection and not recent i.e. Active. Positive i gm antibodies usually indicate current infection. This means you may be have been exposed to mono in the past, the debate still goes on whether there's any correlation between this and chronic fatigue syndrome as many patients who have positive igg or igm do not have chronic fatigue symptoms. ...Read more

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Red blood count 4.13, and absolute lymphocytes 3.6k, c reactive protein is 1.3. 30 yr old female.

Red blood count 4.13, and absolute lymphocytes 3.6k, c reactive protein is 1.3. 30 yr old female.

Unclear question: 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, there is nothing to be concerned about your results. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, low fat 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 more

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5 mo wait for rheum, is dermatomyositis w decreased lung vol a worry, or unikely w/ mild hand, eyelid rash, increasing prox muscle weakness, but neg c react, jo pos ssa, rf, ANA musc, joint pain numbness

5 mo wait for rheum, is dermatomyositis w decreased lung vol a worry, or unikely w/ mild hand, eyelid rash, increasing prox muscle weakness, but neg c react, jo pos ssa, rf, ANA musc, joint pain numbness

See details: This issue needs immediate attention and a wait of 5 months is unacceptable. Have you family doctor call the rheumatologist directly to see if an appointment can be scheduled in the near future. If not, find another rheumatologist or consider a university center. ...Read more

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Routine check-up, found high platelets 700, neg ANA, Sed rate 2, neg JAK2 & MPL, no abnormal cells in smear, hemo appt made, feel great, any ideas?

Thrombocytosis: most probably a reactive one, given the other normal findings, however a specialist input is definitely needed, wish you wellness ...Read more

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U/s shows mildly enlarged liver at 17cm. Said prob due to fibrofatty disease. Cbc, CMP nml. 31 yr old mother of 1 yr old

U/s shows mildly enlarged liver at 17cm. Said prob due to fibrofatty disease. Cbc, CMP nml. 31 yr old mother of 1 yr old

Of concern: The above description is concerning for nonalcoholic fatty liver disease or NAFLD. You may want to check www.liverfoundation.org. Talk to your doc about it. Lose weight if you have room, control cholesterol, healthy diet, no alcohol. Involving a liver specialist early will help in the long run. ...Read more

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Appt in mo. For rheumatologist as pos ANA 3 mos ago, muscles weaker, drop things, very strng knee reflx, maybe mixed connective tissue disease, ra, sjogren memory bad, bro w ms. Nero? E.R.? 6 kids, xmas

Appt in mo. For rheumatologist as pos ANA 3 mos ago, muscles weaker, drop things, very strng knee reflx, maybe mixed connective tissue disease, ra, sjogren memory bad, bro w ms. Nero? E.R.? 6 kids, xmas

Need a diagnosis: Lupus and sjogren's can mimic neurological effects of ms, and muscle weakness could be consistent with a myopathy, and perhaps you do have "mixed connective tissue" process. But vigorous leg reflexes, memory issues, and brother's history raises concern about ms. Would definitely start with the rheumatologist, and maybe get MRI of brain if needed. If lesions, then work with neurology. ...Read more

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Do I have SLE? Total Urine Protein 30mg/dl; ANA - 1:160 w homogenous & speckled patterns, Sed Rate 27, SSA 60 Ab IgG - 51 au, DRVVT - 31 sec

Do I have SLE? Total Urine Protein 30mg/dl; ANA - 1:160 w homogenous & speckled patterns, Sed Rate 27, SSA 60 Ab IgG - 51 au, DRVVT - 31 sec

Need more info: It takes four specific criteria out of a set of 11 to make the diagnosis of SLE. Positive ANA, by itself is not sufficient. It is unlikely that you have SLE. You may consult this site for more information on this topic. http://www.lupus.org/answers/entry/lupus-diagnostic-criteria 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. Drink enough water daily so that your urine is mostly colorless. Practice safe sex. ...Read more

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9 yr old son w recurrent pericarditis+effusion & chronic erythema nodosum, ruled out common diseases. Meaning of CH50 High, CD19 High & CD 16/56 High?

9 yr old son w recurrent pericarditis+effusion & chronic erythema nodosum, ruled out common diseases. Meaning of CH50 High, CD19 High & CD 16/56 High?

White blood cells : White blood cells and inflammation. The CD designations are for surface proteins on white blood cells. In this case, B lymphocytes and NK cells, both of which are found in healthy immune responses. ...Read more

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Lupus sle panel blood test shows pos myocardial ab, if, myocardial ab titer 1:40, gastric pareital cell 43, RA factor 30. What does this mean?

Lupus sle panel blood test shows pos myocardial ab, if, myocardial ab titer 1:40, gastric pareital cell 43, RA factor 30. What does this mean?

Difficult to say: Without specific patient scenario, it is difficult to interpret. You can have lab test anomaly without clinical disease. Open the case... ...Read more

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My 13y/o daughter lab results r high ttg IgA 66 endomysial scr IgA positive and endomysial ab titer high at 1:40 what does all this mean?Dr r/o celiac

My 13y/o daughter lab results r high ttg IgA 66 endomysial scr IgA positive and endomysial ab titer high at 1:40 what does all this mean?Dr r/o celiac

Likely: Does she have any symptoms (gastrointestinal, weight loss, anemia etc)? If she does, she should stay off gluten. If no symptoms, then it is more difficult to have definite answer although ideally she should avoid all gluten products. ...Read more

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Small xtra growth of bone in right femur. CBC histo reflects NE 42.2, LY 49.1, MO 2.7, EO 5.2 & BA 0.8. Why low NE,MO & high LY,EO&BA?Alk phos normal.

Small xtra growth of bone in right femur. CBC histo reflects NE 42.2, LY 49.1, MO 2.7, EO 5.2 & BA 0.8. Why low NE,MO & high LY,EO&BA?Alk phos normal.

This means nothing: White blood cell percentages fluctuate wildly from day to day and even hour to hour. This means nothing and I often wish labs wouldn't even report these. Only if the absolute counts go very far from the reference range are they worth paying attention to. THe only real question is whether to proceed with the workup of the bone lesion. Good luck. ...Read more

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I recently got my blood report.I have c-reactive protein(c.R.P.) positive with 4.8 mg/dl & erythrocyte sedimentation rate 24 and packed cell volume 33?

I recently got my blood report.I have c-reactive protein(c.R.P.) positive with 4.8 mg/dl &
erythrocyte sedimentation rate 24 and packed cell volume 33?

Inflammation: You are anemic and have inflammation. Check 25-oh vit d level. Anemia could be due to iron deficiency if having heavy periods. That can make you more toxic to cadmium a pollutant that is activated by stress and increases cr-protein. Improve health with healthy food, supplements to prevent deficiency, a good night sleep, mild exercise through the day, and de-stress. See kelly mcgonigal's book. ...Read more

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48 yr old male avid runner always with minor muscle tears have itp .Total protein 77g/l albumin 51 but ill defined faint band of IgM kappa found?

No worry : Many topics here are related by the fact that they're all in the blood. The muscle tears are are only related to exercise. The protein and Albumin levels are nonspecific and not bad here. That kappa band needs to be followed up in 6 to 9 months. If it becomes a definite "spike", it may represent a new blood disorder. It may be a good time to line up a hematologist to follow up on these things. ...Read more

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My 6 yo had appt w/ hematology. Results show elevated ldh, elevated retic and increased hgb F. Is this consistent with beta thalassemia trait?

My 6 yo had appt w/ hematology. Results show elevated ldh, elevated retic and increased hgb F. Is this consistent with beta thalassemia trait?

Other ideas: There are a variety of mild hemoglobinopathies that might be a better fit. I am glad Junior is going to get his workup so he can make informed choices as an adult. Best wishes. ...Read more

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Alkaline Phosphatase 129 / C-Reactive Protein 13.2 / Ebv Nuclear Antigen Ab & Ebv Ab Vca, Igg >600 / Dr. says no worries but should I be concerned?

Alkaline Phosphatase 129 / C-Reactive Protein 13.2 / Ebv Nuclear Antigen Ab & Ebv Ab Vca, Igg >600 /  Dr. says no worries but should I be concerned?

Depends: 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, your C-reactive protein is elevated suggesting inflammation. you may wish to repeat the test in 6 months or so. Your doctor knows more about your health and you should follow his/her advice. ...Read more

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On ceruplasmin test hep A AB Total reactive ref range U mean? Also Hep A AB (IGM) nonreactive ref range U mean? What am I testing positive for?

On ceruplasmin test hep A AB Total reactive ref range U mean? Also Hep A AB (IGM) nonreactive ref range U mean? What am I testing positive for?

Lab tests: You do not give a value for the ceruloplasm. If you have antibodies to Hepatitis A virus and the IgG is positive and the IgM negative it suggests that you were immunized for hepatitis A or had infection in the past. Why not discuss these values with the doctor who ordered them? ...Read more