6 doctors weighed in:

Seen in urgicare for cough/sob-blood work showed WBC 4.2, hgb 10.8, RDW 16, RBC 3.99 those r abnormal; I have lupus, only on plaquenil (hydroxychloroquine) is this concern also just finished menstrual cycle 3 days ago?

6 doctors weighed in
Dr. Tracy Lovell
Internal Medicine - Rheumatology
1 doctor agrees

In brief: See below

Lupus and viral infections can cause a low white blood cell and 4.
2 is not worrisome. Your anemia needs to be addressed and if you are having heavy menstrual cycles you will need to see your gyn.

In brief: See below

Lupus and viral infections can cause a low white blood cell and 4.
2 is not worrisome. Your anemia needs to be addressed and if you are having heavy menstrual cycles you will need to see your gyn.
Thank
Dr. Martin Raff
Internal Medicine - Infectious Disease
1 doctor agrees

In brief: Lab data

These show that you have a slightly low WBC count and are anemic with varying sized rbcs.
Without the remainder of the physical exam findings and your full medical records and being able to see you it is impossible to say much more. Medicine is not practiced with labs alone, they are simply an adjunct to good clinical care. See your doctor and feel better.

In brief: Lab data

These show that you have a slightly low WBC count and are anemic with varying sized rbcs.
Without the remainder of the physical exam findings and your full medical records and being able to see you it is impossible to say much more. Medicine is not practiced with labs alone, they are simply an adjunct to good clinical care. See your doctor and feel better.
Thank
Dr. Mehdi Moezi
Internal Medicine - Oncology

In brief: Yes

You need more work up ask to be referred to a hematologist.

In brief: Yes

You need more work up ask to be referred to a hematologist.
Thank
Dr. Jack Mutnick
Internal Medicine - Allergy & Immunology

In brief: Anemia

You likely have a viral infection and associated anemia due to the recent menstruation and plaquenil, (hydroxychloroquine) as well as the acute infection.
Follow urgent care recommendations but follow up with your regular doctor early next week for a thorough evaluation.

In brief: Anemia

You likely have a viral infection and associated anemia due to the recent menstruation and plaquenil, (hydroxychloroquine) as well as the acute infection.
Follow urgent care recommendations but follow up with your regular doctor early next week for a thorough evaluation.
Thank
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