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What Does My Blood Test Report Indicate?
Question: Hello. I went to the ER yesterday with severe stabbing chest pain that radiated down my left arm. Blood work was done. My trop was <0.017 L (reference was 0.017-1.0). Was prescribed nitro and sent home. I have had a miserable night.
Other discrepancies on blood work were
Bilt 1.2 H
Ast 46 H
Alt 79 H
Mchc 32.8 L
Neu% 32.8 L
Lym% 51.1 H
I have been in hospital in Feb for 11 days with critically low whit blood count of 650. Bone marrow was done for leukemia however test was negative. I am being told I am a mystery. I need some advise.
Other discrepancies on blood work were
Bilt 1.2 H
Ast 46 H
Alt 79 H
Mchc 32.8 L
Neu% 32.8 L
Lym% 51.1 H
I have been in hospital in Feb for 11 days with critically low whit blood count of 650. Bone marrow was done for leukemia however test was negative. I am being told I am a mystery. I need some advise.
Brief Answer:
The cause of low WBC count needs to be found and treated.
Detailed Answer:
Hello,
Thanks for posting your query on HealthcareMagic.
The white blood cell count (WBC) is critically low (650/microlitre) and the neutrophil count is also critically low.
Low white blood count can be due to bone marrow depression secondary to drugs, viral infection, radiotherapy etc.
You need to consult a hematologist to look for the probable cause of low white blood cell count.
ALT and AST are raised.
These parameters can be raised due to liver disease/ injury viral infection being common.
These findings need to correlated with clinical findings.
Since Trop I was within range, possibility of ischemic heart disease is ruled out.
If you have more queries, I will be glad to answer.
Thanks and take care
Dr Shailja Puri
Brief Answer:
Viral infections have self limiting course, can wait for 3-4 weeks.
Detailed Answer:
Hello and welcome again,
Most viral infections have self limiting course.
You may wait for couple of weeks and repeat the complete blood count thereafter.
There is a possibility that the blood counts may get back to normal.
Thanks and take care
Dr Shailja Puri
The cause of low WBC count needs to be found and treated.
Detailed Answer:
Hello,
Thanks for posting your query on HealthcareMagic.
The white blood cell count (WBC) is critically low (650/microlitre) and the neutrophil count is also critically low.
Low white blood count can be due to bone marrow depression secondary to drugs, viral infection, radiotherapy etc.
You need to consult a hematologist to look for the probable cause of low white blood cell count.
ALT and AST are raised.
These parameters can be raised due to liver disease/ injury viral infection being common.
These findings need to correlated with clinical findings.
Since Trop I was within range, possibility of ischemic heart disease is ruled out.
If you have more queries, I will be glad to answer.
Thanks and take care
Dr Shailja Puri
Brief Answer:
Viral infections have self limiting course, can wait for 3-4 weeks.
Detailed Answer:
Hello and welcome again,
Most viral infections have self limiting course.
You may wait for couple of weeks and repeat the complete blood count thereafter.
There is a possibility that the blood counts may get back to normal.
Thanks and take care
Dr Shailja Puri
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
The hematologist is the one who states i am a mystery. The MDs do agreed there is an underlying infection but cannot seem to find it .
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