Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

126 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Pregnant. Blood test, peripheral smear and urine analysis done. What are the findings?

Answered by
Dr.
Dr. Rhea Chanda

OBGYN

Practicing since :2005

Answered : 3163 Questions

default
Posted on Wed, 6 Feb 2013 in Pregnancy
Question: My wife is in 1st trimester of her pregnancy and we got all the required test done last week. The reports summary is here:

Blood Test
HB: 12.3 g/dl (11.5 - 16.5 g/dl)
PCV : 36.9 % (37-47 %) - ABNORMAL VALUE

RBC : 4.12 millions/cumm
MCV : 87.1 fl (76 - 96 fl)
MCH : 28.6 pg (27 - 32 pg)
MCHC : 33.4 g% (32 - 36 g%)

Total Count : 10, 800 cells/cumm (4000 - 0000 cells/cumm) - ABNORMAL VALUE
Neutrophils : 72% (40 - 75%)
Lymphocytes : 14% (20 - 45%) - ABNORMAL VALUE
Eosinophils : 02% (0 - 6%)
Monocytes : 02% (2 - 8%)
Platelet count : 1.90 Lakhs/cumm (1.5 - 4.5 Lakhs/cumm)
ESR : 20 mm/hr (0 - 20 mm/hr)

Peripheral Smear
RBCs : Normocytic Normochromic
WBCs : Normal in morphology
PLATELETS: Adequate
HAEMOPARASITES: Not Seen
ABNORMAL CELLS: Not Seen
IMPRESSION: NORMOCYTIC NORMOCHROMIC BLOOD PICTURE

-----------------------------------------
Randam Blood Sugar: 104 mg/dl (70-150 mg/dl)
Randam Urine Sugar: Nil
-----------------------------------------
VDRL: Non Reactive
HBSAG: Negative
HIV ELISA: Negative
-----------------------------------------
Urine Analysis:

Physical Examination
Volume: 25 ml (20-30 ml)
Color: Pale Yellow (Pale Yellow)
Appearance: Turbid (Clear)
Specific Gravity: 1.010 (1.008-1.028)
PH: 6.0 (5.2 - 6.7)

Chemical Examination
Albumin: Trace (Negative)
Sugar: Negative (Negative)
Ketone bodies: Negative (Negative)
Bile Salts: Negative (Negative)
Bile Pigments: Negative (Negative)
Urobilinogen: Normal Amount (Normal Amount)

Microscopic Examination
Epithelial Cells: 4-6/hpf* (2-3/hpf) - ABNORMAL VALE
PUS Cells: 8-10/hpd* (0-1/hpf) - ABNORMAL VALUE
RBC: Nil (Nil)
Casts: Nil (Nil)
Crystals: Nil (Nil)
Bacteria: Present (Nil)

------------------------------------------
T3T4TSH
TRI-IDOTHYRONINE T3 : 166.29 ng/dl (60.00 - 181.00 ng/dl)
THYROXINE T4 : 9.90 ug/dl (4.50 - 12.60 ug/dl)
THYROID STIMULATING HORMONE TSH: 11.56 (H) uIU/ml (0.35 - 5.50 uIU/ml) - ABNORMAL VALUE

Certain paramaters like PCV, Total Count, Lymphocytes in Blood Test, Epithelial & PUS Cells with Bacteria presence in Urine Test, and high TSH value in Thyroid Test are a reason to worry.

She is in her 11 week and would be completing 12th on 24th of this month. So, planning to visit a doctor tomorrow but still I want to take an expert opinion on these reports.

Regards,
XXXXXXX
doctor
Answered by Dr. Rhea Chanda 48 minutes later
Hello XXXXXXX
Some points to remember here are the following:
1.Total count is mildly raised,which is often seen in in pregnancy. Dont worry about that at present.Total count is raised in infection,and there may have been an infective focus in the recent past.
2.PCV depend on the Hb and thats normal.Nothing to worry about.
3.The problem lies in the urine report.Presence of pus cells and bacteria means that she may have an urine infection.She needs to get an urine culture done.It will detect any infection.
4.TSH is high,indicating hypothyroidism. She needs to start medication for that immediately and continue throughout pregnancy.
Rest of the reports are normal.
I suggest that she see her doctor asap for the thyroid meds and get the urine culture done also.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Rhea Chanda 43 minutes later
Thanks a lot mam for proactive response. I really appreciate that.

Regards,
XXXXXXX
doctor
Answered by Dr. Rhea Chanda 11 hours later
Happy to help.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  
Medical Topics ,  

Recent questions on  Hypothyroidism

doctor1 MD

I am 66, 5'2" and 155lbs. I developed a fib 2 years ago (now regulated) and was put on an older beta blocker plus I have high blood pressure for which I am now on the 5th different med ...I take 0.137 mg synthroid daily for 30 years, strength has varied over the years from 0.075 to as high as 0.2mg...my tsh, which is the only measurement my physician will consider, is usually 2.5 or thereabouts...in the last few months my hypothyroid symptoms have increased and on the last lab my tsh was very high, over 8 so I know my thyroid level is very low...I am very fatigued, depressed and most upsetting am eating less and getting fatter, where before I was overweight but firm and now I can feel fat in my thighs and upper arms plus around my abdomin which I never had before. Research shows the older type of beta blocker, atenolol, can slow metabolism and cause insulin resistance, (I am not diabetic) is it safe to simply stop one beta blocker and start another...in fact, I'd like to get off it altogether but the last time my physician said to just stop taking it, I developed pvc's which was corrected by increasing the atenolol. I am distressed about the side effects of this drug and wld like to take something less toxic.

doctor1 MD

My heart skips and then thumps on an average of every 30th beat. Sometimes the interval is much longer or less than ten beats. I have MS and hypothyroidism. I am on meds for both, the thyroid for over a year and the arrhythmia has only started a few months ago.

doctor1 MD

hi,ima 20 yr old girl, 82kg, 168cm im a hypothyroidism patient. as a result i have pigmentations on my face...around lips, n also at the folds .. i take thyroxin 100mg, metformin 500mg, aldectone 50mg n droxin 35..to regilarise periods. pls help me remove this as soon as possible

doctor1 MD

I HAVE HAD HYPOTHYROIDISM FOR WHAT SEEMS LIKE FOREVER. I HAVE GONE TO MANY DIFFERENT DOCTORS AND ALL THEY DO IS GO BACK AND FORTH WITH THE DOSAGE OF SYNTHROID AND IN THE MEANTIME, I AM EXHAUSTED, MY JOINTS HURT, AT THE MOST RIDICULOUS TIMES-MY...

doctor1 MD

what could cause chills all the time with no fever

doctor1 MD

My Mother is 67 years old. For past few months, she has been suffering from black patches and itching in her lower right leg. She consulted an ayurvedic specialist and took up prescribed medicines. The diagnosis was impurities in blood and the...