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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Prognosis For An 82-year-old With Joints Pain And Extremely Low WBC Count

your opinion: 82 yr old male . History of cardiac issues. quad bypass 20plus years ago.Edema bilateral hands (knuckles) and feet. Very weak. Painful joints. Wbc count low 1.4.Runs low normally but not that low. Liver and kidney function wnl. More blood drawn last Friday for cultures to be completed by this coming Friday. He is to meet with Oncologist when cultures are complete. Your thoughts?
Tue, 26 Dec 2017
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Pathologist and Microbiologist,  's  Response
Dear sir. We need to evaluate the cause for low WBC count. One it can due to simple infection and culture report is awaited to look for it.
Further we need complete clinical examination to look for rashes, size of the spleen, liver and enlargemnt of any lymphnodes. We need to get the following tests Haemoglobin, platelet count, differential count, PT, APTT and pheripheral smear examination. Based on these examination and tests we can get an idea about the cause. If there are abnormalities on this the physician ill suggest bone marrow examination if required.

hope it was helpful information.
Thank u
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Suggest Prognosis For An 82-year-old With Joints Pain And Extremely Low WBC Count

Dear sir. We need to evaluate the cause for low WBC count. One it can due to simple infection and culture report is awaited to look for it. Further we need complete clinical examination to look for rashes, size of the spleen, liver and enlargemnt of any lymphnodes. We need to get the following tests Haemoglobin, platelet count, differential count, PT, APTT and pheripheral smear examination. Based on these examination and tests we can get an idea about the cause. If there are abnormalities on this the physician ill suggest bone marrow examination if required. hope it was helpful information. Thank u