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Medical Forum / General / General / December 2004CBC Interpretation Please
Brief history: About 13 months ago I had a colonoscopy to remove cancerous polyps which had caused major bleeding, anemia, extremely low HGB and RBC as well as small and misshaped RBC's. I had just started to feel fully recovered, with only a bit of residual fatigue and only after trying to get back to a busy schedule. Now after experiencing similar symptoms as prior to the above diagnosis/treatment a follow up CBC showed all normal except: HGB 191 RBC 5.99 HCT 0.553 Abs monocytes 0.970 PT 8.9 ALT 56 Urea 10.7 Creatinine 128 I'm especially puzzled by the high HGB, with was below 90 at the worst. I know enough to rule out hypoxia as a cause, but then I'm not an MD. I also understand that creatinine can become elevated occasionally as a result of benign causes, like alcohol consumption, although this is not my situation. Any opinions most appreciated. Thank you. what units are these laboratory studies in? hematocrit should be expressed as a percentage... is your hematocrit supposedly 55%? hemoglobin should be in grams per deciliter or other similar units... these numbers don't make any sense without units. > Brief history: > [quoted text clipped - 29 lines] > Checked by AVG anti-virus system (http://www.grisoft.com). > Version: 6.0.788 / Virus Database: 533 - Release Date: 11/1/2004 Sorry, see below for the units I've added to the original post. . I'm in Canada. I've just added the units as per the report. > what units are these laboratory studies in? > hematocrit should be expressed as a percentage... is your hematocrit [quoted text clipped - 42 lines] >> Checked by AVG anti-virus system (http://www.grisoft.com). >> Version: 6.0.788 / Virus Database: 533 - Release Date: 11/1/2004 >Sorry, see below for the units I've added to the original post. . I'm in >Canada. I've just added the units as per the report. Didn't you tell us that you were recently diagnosed as having Hereditary Hemorrhagic Telangiectasia, a genetic condition in which defective growth of blood vessels causes sporadic bleeding in many different organs, and often associated with intestinal polyps? If you leave out this very important piece of information I don't see how you can expect to get a useful answer about your blood work. IIRC, you were also attending an HHT clinic at a teaching hospital. If it were me, that's the first place I'd go for an opinion on those results. >>Sorry, see below for the units I've added to the original post. . I'm in >>Canada. I've just added the units as per the report. [quoted text clipped - 9 lines] > it were me, that's the first place I'd go for an opinion on those > results. Yes, all correct. Sorry I left that out in this post, I was just simply interested in what the out of normal range results could indicate. I did attend the clinic, did a whole bunch of tests including the blood work. Follow up confirmed the diagnosis. Chest x-ray found no AVM (?) in the chest. I've also had a bone scan done (fully body), but have yet to get the results. I don't think the intestinal polyps are related to the HHT. They were removed and found to be cancerous. Follow up on this condition is ongoing. The reason I posted here about the CBC is that the doctor noted the abnormalities, but said that they were not related to the HHT, and so follow up with a specialist has been scheduled. She said this was not her area of expertise so declined to speculate on what they might indicate. While I'm waiting for this appointment, I am just interested in finding out here what the CBC might indicate. I've also taken part in an ongoing HHT research project, and am going to get a DNA test which they tell me will help to screen / diagnose relatives and children. Apparently HHT is such that they cannot as yet screen for it, as it is nearly impossible to find the markers, but if they have a sample from a confirmed HHT case, they are able to pinpoint it and from there be able to look for it in other relatives. One of the research studies I am participating in is trying to develop a simpler screening procedure - one of which involves analyzing one's breath for indicators. Thanks for your interest. > Brief history: > > About 13 months ago I had a colonoscopy to remove cancerous polyps which had > caused major bleeding, anemia, extremely low HGB and RBC as well as small > and misshaped RBC's. Uh-oh. Would be concerned that margins were not clear. Why wasn't surgical removal of diseased colon considered? > I had just started to feel fully recovered, with only a > bit of residual fatigue and only after trying to get back to a busy [quoted text clipped - 11 lines] > Urea 10.7 > Creatinine 128 Couple of points here: (1) The above is more than a CBC (there's PT, Urea, Creatinine) and then also less than a CBC (no WBC or platelets). (2) The numbers are "off" and almost nonsensical. > I'm especially puzzled by the high HGB, with was below 90 at the worst. I > know enough to rule out hypoxia as a cause, but then I'm not an MD. I also > understand that creatinine can become elevated occasionally as a result of > benign causes, like alcohol consumption, although this is not my situation. Would suggest you go over the test results with the physician who ordered these tests for you. I would be concerned about renal failure causing the elevations in both Urea and creatitine. This would not explain the elevated Hgb. > Any opinions most appreciated. > > Thank you. You are welcome. All praises belong to my heavenly Father, Whom I love with all my heart, soul, mind, and strength :-) Servant to the humblest person in the universe, Andrew -- Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist http://www.heartmdphd.com/ ** Who is the humblest person in the universe? http://makeashorterlink.com/?L26062048 What is all this about? http://makeashorterlink.com/?R20632B48 Is this spam? http://makeashorterlink.com/?N69721867 This is the most recent in a score or so of single news group threads turned into a multi group unrelated thread by brother chung. This suggests the extreems to which he will go to turn our attention away from his extreem loss of face, which details we need not dicuss here now. He projects unto others some of those inner feelings he can not shake, and well we understand why. In the clear contridiction between his words and his behavior and judgement there is a lesson to be learned. We pray he begin that painful journey for his own sake. > This is the most recent in a score or so of single news group threads > turned into a multi group unrelated thread by brother chung. This [quoted text clipped - 4 lines] > his behavior and judgement there is a lesson to be learned. We pray he > begin that painful journey for his own sake. And yet you felt the need to crosspost this drivel yet more? >This is the most recent in a score or so of single news group threads >turned into a multi group unrelated thread by brother chung. This [quoted text clipped - 4 lines] >his behavior and judgement there is a lesson to be learned. We pray he >begin that pa infuljourneyforhisownsake. Why don't you lead him on his way on his painful journey? As soon as you have learnt how to cut cross-posts. Cheers, Alan -- > Brief history: > [quoted text clipped - 22 lines] > > Any opinions most appreciated. In US units your HCT is 55.3%, which is indeed a tad high. If you're not hypoxic, there's really no way of getting to the bottom of an overly high HCT without doing a bone marrow biopsy. See a hematologist. Your hemoglobin in US units is 19.1 grams/dl or grams %, which is entirely consistant with your hematocrit, and suggests nothing peculiar on its own. At least you know your iron stores have been repleted after being anemic from the polyps and/or telangectasia. Perhaps you've been anemic for so long that after iron repletion your marrow hasn't turned off quite yet and you've overshot. No, don't quote me. I have no idea if that's possible. SBH "Steve Harris sbharris@ROMAN9.netcom.com" <sbharris@ix.netcom.com> wrote in message news:79cf0a8.0411101826.60eaf0a3@posting.google.com... Thank you very much for your insights. hi tech. i was diagnosed w/ hht five years ago, and have been poked at by doctors since. i was curious about the test that analyzes breath to look for indicators. that is nothing i've ever heard before. aisling |
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