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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Infant Having Swelling On Both Knees, Have X-ray Report. Can Any Online Doctor Help Me To Read It?

Hi My Baby is 2 years old and yesterday only we saw swelling on both of her knees. Xray reported no problem with bones/muscles. Doctors suggested blood test with below findings: DLC Counts: Polymorphs : 44%, Lymphocytes : 51%, Eosinophils: 04%, Monocytes : 01%, Basophils: 00% ESR : 25 mm/h RBC Counts : 4.71 Millions/cmm PCV : 35.3% MCV: 75 fl MCH: 24.3 pg MCHC : 32.2 % REW : 14.4 % Platelets counts : .87 lakhs/cmm MPV: 9.6 fl PDV : 15.4 PCT : 0.083 % Please suggest if there is anything wrong with the test result. If yes how to improve on count Thanks, Amit Sharma
Sat, 20 Jul 2013
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Pediatrician,  's  Response
Hi Amit,

Thank you for your query.

I can understand your concern. However the following information would have been more useful for me to give you a guidance:
1. Duration of the swelling?
2. Is the swelling constant or does it wax and wane?
3. Any discomfort in moving?
4. Any other associated condition?
5. Did your child have a upper respiratory infection a week or two earlier?
6. The total leucocyte count (TLC), which seems to have been missed in your query?
The counts mentioned by you seem to be within normal limits. If there is no discomfort to your child then you can wait and watch otherwise you get him examined and manage accordingly.

I hope I have answered your query to your satisfaction.

Wishing your child all the besst.

Regards,

Rajiv K Khandelwal
http://goo.gl/SuCjl
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Infant Having Swelling On Both Knees, Have X-ray Report. Can Any Online Doctor Help Me To Read It?

Hi Amit, Thank you for your query. I can understand your concern. However the following information would have been more useful for me to give you a guidance: 1. Duration of the swelling? 2. Is the swelling constant or does it wax and wane? 3. Any discomfort in moving? 4. Any other associated condition? 5. Did your child have a upper respiratory infection a week or two earlier? 6. The total leucocyte count (TLC), which seems to have been missed in your query? The counts mentioned by you seem to be within normal limits. If there is no discomfort to your child then you can wait and watch otherwise you get him examined and manage accordingly. I hope I have answered your query to your satisfaction. Wishing your child all the besst. Regards, Rajiv K Khandelwal http://goo.gl/SuCjl