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Had jaundice. Done with health check up. What are the findings?

DOCTOR OF THE MONTH - Sep 2013
Sep 2013
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General & Family Physician
Practicing since : 1978
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Question
HELLO DOCTOR,

PLEASE HAVE A LOOK AT THIS HEALTH CHECKUP REPORT AND POINT OUT ANY NEGATIVE THINGS AND ALSO HOW TO TREAT THAT.
Posted Tue, 9 Jul 2013 in General Health
 
 
Answered by Dr. Het Ram Bishnoi 16 hours later
Hello XXXXX XXXXXXX

Thanks for the query.
REPORT NO.
1) Red Blood Cells ( R B C) 4.38 (4.5-5.5 million c mm ) LOW,
Mean cells volume ( M C H ) 107.3 fl ( 83.0-101.0) HIGH,
Mean corpuscular or cells hemoglobin 34.8 (27.0-32.0 Pg) HIGH,
Red Cells Distribution Width (RCDW) 15.9 % ( 11.6-14 %) HIGH,

RESULT MILD ANISOPOIKLOCTOSIS,
macrocytic normochromic with macro-ovalocytosis.
Size of RBC is 7 micron and shape is round.
Any change in size of R B C is known as anisocytosis and change in shape is known as poikilocytosis .
These changes were of mild degree hence the report indicates MILD ANISOPOIKLOCYTOSIS .
All the cells in blood called as macrocytes ( rbc, wbc, plateltes) and in this report R B C were oval with fully hemoglobinized ( as hemoglobin is 15.3 gm%) so we call them as MACRO-OVALOCYTES .
Macrocytic normochromic means normal cells.

As far as concerned about MCV ,MCH , RCDW , this is also related to R B Cs as these cells are blood carrying capacity.
Normal life of R B C 120 days .
Freshly released R B C known as reticulocyte hence R C W D is slightly high , this is not a cause of concern.
All these signs are due to old case ( treated case of jaundice) .

Report no
2) all are normal

3) Urine analysis ,
Slightly hazy ( due to what, we drink or fluid taken 12 hours before sample)
Nitrite ( this is part of urea ,which usually present in urine)
BACTERIA (FEW) non-specific ,but for precaution get LEVOFLOXACIN 750 mg/day just for 5 days ( mild nausea so take this drug after dinner ).
Hope I have answered your question.
If further any question I will help.
Good luck
Dr. HET
Above answer was peer-reviewed by
 
Follow-up: Had jaundice. Done with health check up. What are the findings? 34 hours later
You were referring to the old signs of treatment of jaundice,so till what time will this sign will remain?
AGAIN I WOULD LIKE TO THANKS U FOR UR ADVISES U HAVE GIVEN ON THE HEALTH CHECKUP REPORTS OF ME AND MY FAMILY MEMBERS.
 
 
Answered by Dr. Het Ram Bishnoi 4 hours later
Hello, XXXXX XXXXXXX ,

The sign of jaundice should disappear within one year.
It is my pleasure ,God bless you and your family.
Once again thanks.
Dr HET
Above answer was peer-reviewed by
 
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