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What Do The Following Test Reports Indicate?

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Posted on Fri, 18 Sep 2015
Question: We got regular blood tests done for XXXX (2 years 3 months old) particularly for Vitamin D. There are many items where the results are outside the range. Can you please review and let us know what we should do? Some of the results outside range are below:

25-HYDROXY VITAMIN D 16.3 ng/mL (range 30-100)
FERRITIN 6.3 ng/mL (range 22-322)
IRON 40 (range 65-175)
L-LACTATE 3.9 (range 0.4-2.0)
CHOLESTROL HDL 79 (range 40-60)
ALKALINE PHOSPHATAS 241 (range 46-116)

Do any of above issues contribute to his fits or developmental delays?

There are few more things outside range. I can provide full report.
doctor
Answered by Dr. Sudhir Kumar (11 minutes later)
Brief Answer:
Need to give iron and vitamin D supplements.

Detailed Answer:
Hi,

Thank you for posting your query.

I have noted the reports of your 2-year old child. The reports show low vitamin D levels, as well as low ferritin and iron levels. These do not contribute to fits or developmental delay.

However, vitamin D and iron supplements should be started.

There is no need to worry about high HDL or alkaline phosphatase levels.

High lactate may be important if there is muscle weakness; otherwise it carries no significance.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (8 minutes later)
Hi Dr, I have attached complete report. Can you please evaluate that and lets us know if we should tell anything from it to our paedtric neuro?
doctor
Answered by Dr. Sudhir Kumar (2 minutes later)
Brief Answer:
All 7 attachments are same.

Detailed Answer:
Thank you for getting back.

Seen the attachment. All seven of them are same.

There is nothing of note in this report and are within normal limits.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (12 minutes later)
Hi dr, sorry for confusion. I have uploaded proper images now. All are different. Thanks
doctor
Answered by Dr. Sudhir Kumar (1 minute later)
Brief Answer:
Shows low vitamin D level.

Detailed Answer:
Again all are showing low vitamin D levels (all seven are same).

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 6232 Questions

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What Do The Following Test Reports Indicate?

Brief Answer: Need to give iron and vitamin D supplements. Detailed Answer: Hi, Thank you for posting your query. I have noted the reports of your 2-year old child. The reports show low vitamin D levels, as well as low ferritin and iron levels. These do not contribute to fits or developmental delay. However, vitamin D and iron supplements should be started. There is no need to worry about high HDL or alkaline phosphatase levels. High lactate may be important if there is muscle weakness; otherwise it carries no significance. Best wishes, Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist