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Doctor insights on: Sucrose Hemolysis Test

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Is Haptoglobin (mg/dl) test a blood chemistry test or hematological test?

Is Haptoglobin (mg/dl) test a blood chemistry test or hematological test?

Haptpglobin: Is a transport protein for the breakdown of hemoglobin. If is used to assess for RBC destruction. When the haptoglobin Is low there is an association with increased hemolysis ...Read more

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How do they test for hemolysis?

Several labs: An elevated reticulocyte count or seeing numerous young red cells on a smear is a tipoff to hemorrhage or hemolysis in a patient. I recommend against haptoglobin or free hemoglobin tests. Coombs test picks up immune sensitization & there are a host of others. There are other situations, such as the blood bank, where other tests work. ...Read more

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Have GTT test. Blood glucose normal. O hour and 1 hour urine glucose negative but 2 hour urine glucose is trace. False positive or renal glycosuria?

Have GTT test. Blood glucose normal. O hour and 1 hour urine glucose negative but 2 hour urine glucose is trace. False positive or renal glycosuria?

Urine glucose: If your GTT is OK and the 2 hour urine only a trace high, I don't think you have anything to worry about. That said, be careful with your food and drink intake. ...Read more

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Which test is more reliable for monitoring diabetes: a blood sugar test or urine sugar test?

Which test is more reliable for monitoring diabetes: a blood sugar test or urine sugar test?

Bllod sugar: Glucose appears in urine only when blood sugar is greater than (debate) 180-220. Would like to aim for sugars 80-150 for good control. So can still be in 150-180 range, chronically, and still be in less than ideal control without any sugar appearing in urine. ...Read more

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Random blood sugar test result 375mg/dL repeat test done Fasting Plasma Glucose result 228mg/dL. Am I diabetic?

Random blood sugar test result 375mg/dL repeat test done Fasting Plasma Glucose result 228mg/dL. Am I diabetic?

Yes!: You are def a diabetic. Get a glucose meter and check some fingersticks. Completely NL in the AM fasting is 70-100. 101-125 is borderline, >125 is diabetes. Go see a diabetes doc and get an A1C test. Normal is up to 5.7. Pre-diabetic is 5.7 - 6.4. Diabetes is >6.4. Check out this link from the NIH: http://diabetes.niddk.nih.gov/dm/pubs/A1CTest/A1C_Test_DM_508.pdf. You need diabetic tx! ...Read more

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Blood report 6 ykid AST 157, ALT, 129, LACTATEDEHYDROGENASE 802, BUN/CREAT RATIO 25.00,RAPID TYPHI IGM Protien,ketones,bilirubin detected. Typhoid?

Blood report 6 ykid  AST 157, ALT, 129, LACTATEDEHYDROGENASE 802, BUN/CREAT RATIO 25.00,RAPID TYPHI IGM Protien,ketones,bilirubin detected. Typhoid?

Definitely Possible: I'm assuming you've recently traveled to a place where typhoid is more common?Often we see high fever,feel weak,stomach pain, headache,decreased appetite,and flat rose-colored spots on the skin.CDC recommends having stool or blood tested for the presence of Salmonella Typhi for a definitive diagnosis.Your abnormal liver function tests are suspicious and IgM is highly suspicious.Start antibiotics ...Read more

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Blood test shows élévated bilirubin , urine test négative for bilirubin. Any explanation??

Blood test shows élévated bilirubin , urine test négative for bilirubin. Any explanation??

Unconjugated: Bilirubin exists in the blood in both the conjugated and Unconjugated forms. Only the conjugated can enter the urine. If you feel well, and this is new, you very likely have Gilbert's non-disease. Best wishes. ...Read more

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Urine examination pH acid, protein trace, glucose nil, 2-3 wbc@hpt please is the test ok?

Urine examination pH acid, protein trace, glucose nil, 2-3 wbc@hpt please is the test ok?

WBC's & UTI: A clean catch urine usually does not contain wbc's, which may indicate a sign of asymptomatic bacteria in the urine(urinary tract infection). The urine can be sent to a lab for culture & sensitivity to see if any bacteria will grow to confirm or not the possible infection. ...Read more

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Does hgb A1c test complement a glycomark test?

Does hgb A1c test complement a glycomark test?

Yes: Each test has its own utility and measures different mechanism of abnormal glucose metabolism. I would also add a fasting Insulin level and a GGT level into the panel for optimal understanding of what is really going on with the sugar in your body. ...Read more

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Is a random glucose blood sugar test accurate to diagnose diabetes?

Is a random glucose blood sugar test accurate to diagnose diabetes?

Random glucose >200: The ADA has set criteria for the diagnosis of diabetes as a patient with classic symptoms of hyperglycemia and a random glucose blood glucose > 200mg/dL http://www.diabetes.org/diabetes-basics/diagnosis/ ...Read more

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Is a IgG quantitative test same as the serum protein electrophoresis test?

Is a IgG quantitative test same as the serum protein electrophoresis test?

Blood tests: They are two different separate blood tests, spep serum protein electrophoresis test is a screening test for plasma cell disorders like mgus, smoldering or full blown myeloma and quantitative igg is a blood test to quantify the amount of igg in blood. Usually more than 3 grams is significant in blood. ...Read more

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Immunofixation, Serum FAH = Monoclonal IgG kappa immunoglobulin. Beta FAH = 10.5% Abnormal band, immunofixation to follow. I'm IgA deficient too. ??

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

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Blood test RBC 4.07, Hemoglobin 129 Hematocrit 0.385 Monocytes 1.1 GFR 57 Alkaline Phosphatase 39 Also Urine Albumin/Creatinine 6.7?

Blood test RBC 4.07, Hemoglobin 129 Hematocrit 0.385 Monocytes 1.1 GFR 57 Alkaline Phosphatase 39  Also Urine Albumin/Creatinine 6.7?

Need more info: Trying to give you a "heads up" on the implications of these values is like knowing the full story of a book by just reading the table of contents. The best person to give you insight about what these lab values mean is the physician who ordered them and knows a lot about your general health and background. ...Read more

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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.

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 more

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Had urine test, some results urine occult blood negative trace Urine protein screen negative, trace mg\dl negative. is this normal reading with trace ?

Had urine test, some results urine occult blood negative trace Urine protein screen negative, trace mg\dl negative. is this normal reading with trace ?

Normal: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is in the best position to do that. Having said that, the results you provided are normal. ...Read more

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What are these tests done for? Hb, tc, ast, alt, bilurubin total, direct. Creatinine, quantitative CRP assay and rbs.

What are these tests done for?
Hb, tc, ast, alt, bilurubin total, direct. Creatinine, quantitative CRP assay and rbs.

General health: Just as a grown man, i might walk into my physician's office after several years of neglecting my annual physicals, and expect to get all of these checked. Health maintenance, fishing expedition, or focused workup -- all are common tests. ...Read more

Dr. Liawaty Ho Dr. Ho
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High hemoglobin, high ferritin ( hb 177-200, ferritin 854, leuk 7.8, hkr 51-60, other blood tests , liver etc.Normal, polyvera & hemacromat excluded?

Dr. Liawaty Ho Dr. Ho
1 doctor agreed:
High hemoglobin, high ferritin
( hb 177-200, ferritin 854, leuk 7.8, hkr 51-60,  other blood tests , liver etc.Normal, polyvera & hemacromat excluded?

2nd polycythemia: Secondary polycythemia can ce caused by different things like abnormality/mass on the liver, kidney, lungs problem, sleep apnea , drugs like testoserone etc. Also ferritin ca be elevated in the settings of inflammation, liver problems, infection etc. You need to get more evaluation like sleep study, imaging scan like ct scan to eval lung, liver, kidney. Discuss with your hematologist. ...Read more