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What Do These Thyroid Profile, Urine And Blood Test Reports Indicate?
Question: My mother-in-law is currently in the hospital. She has feelings of weakness, cannot eat, makes very little urine or feces, and has swollen feet. She had many tests and cat scans done, and last month had a surgery on her thyroid gland.
They found a lot of problems with her urine, finding nitrates, both white and red blood cells, and protein. I believe she has an early stage of kidney disease, could her problems be an early stage of kidney disease?
She has a scan done of the kidney and blood work. Her kidney function is normal, and the scan did not show any scarring. She will be seeing a urologist, will they be able to help if the problem is kidney related?
Here is the information I have so far:
Patient: female; age: 69; symptoms: ascites; pitting edema over both legs; no appetite; eats very little; urine volume: 500-600ml/daily; low fever: 99 degree; barely has bowel.
Had thyroid nodule surgery end of May, and has infection after the surgery.
Reports:
Thyroid:
FT3: 1.61 pmol/L
FT4: 7.86 pmol/L
TSH: 44.58 uIU/ml
Bloodwork:
Total protein: 44.0 g/L
Albumin: 29.0 g/L
Glb: 15.0 g/L
Natrium: 127.9 mmol/L
Chlorine: 91.8 mmol/L
Calcium: 1.98 mmol/L
Urea, creatinine, UA -- normal;
A/G, dBIL, TBA, ALT, AST-- normal
WBC: 13.5 10^9/L
RBC: 2.81 10^12/L
Hgb: 80 g/L
HCT/PCV: 23.7 %
NEUT count: 12.2 10^9/L
Lymphocytes count: 0.6
Eosinophils count: 0.0
NEUT %: 90.6%
Lymphocytes %: 4.4%
Eosinophils %: 0.2%
Thrombocytocrit: 0.1%
C4: 30.10 mg/L
C3: 518.0 mg/L
LgG: 5.33g/L
Immunoglobulin M: 605.0mg/L
CRP: 49.9mg/L
Rheumatoid Factors: 131.0 IU/ml
D-dimer: 0.69mg/L
Urine:
SG: 1.000
ERY: +++
WBC: +
PRO: +
NIT: +
RBTC: 58.74
HRBC: 55.44
WBTC: 17.82
WBC: 17.82
They found a lot of problems with her urine, finding nitrates, both white and red blood cells, and protein. I believe she has an early stage of kidney disease, could her problems be an early stage of kidney disease?
She has a scan done of the kidney and blood work. Her kidney function is normal, and the scan did not show any scarring. She will be seeing a urologist, will they be able to help if the problem is kidney related?
Here is the information I have so far:
Patient: female; age: 69; symptoms: ascites; pitting edema over both legs; no appetite; eats very little; urine volume: 500-600ml/daily; low fever: 99 degree; barely has bowel.
Had thyroid nodule surgery end of May, and has infection after the surgery.
Reports:
Thyroid:
FT3: 1.61 pmol/L
FT4: 7.86 pmol/L
TSH: 44.58 uIU/ml
Bloodwork:
Total protein: 44.0 g/L
Albumin: 29.0 g/L
Glb: 15.0 g/L
Natrium: 127.9 mmol/L
Chlorine: 91.8 mmol/L
Calcium: 1.98 mmol/L
Urea, creatinine, UA -- normal;
A/G, dBIL, TBA, ALT, AST-- normal
WBC: 13.5 10^9/L
RBC: 2.81 10^12/L
Hgb: 80 g/L
HCT/PCV: 23.7 %
NEUT count: 12.2 10^9/L
Lymphocytes count: 0.6
Eosinophils count: 0.0
NEUT %: 90.6%
Lymphocytes %: 4.4%
Eosinophils %: 0.2%
Thrombocytocrit: 0.1%
C4: 30.10 mg/L
C3: 518.0 mg/L
LgG: 5.33g/L
Immunoglobulin M: 605.0mg/L
CRP: 49.9mg/L
Rheumatoid Factors: 131.0 IU/ml
D-dimer: 0.69mg/L
Urine:
SG: 1.000
ERY: +++
WBC: +
PRO: +
NIT: +
RBTC: 58.74
HRBC: 55.44
WBTC: 17.82
WBC: 17.82
Brief Answer:
Anemia,proteinuria with low electrolytes may indicate renal problem.
Detailed Answer:
Hello
I have gone through your mother in law findings in detail.
She may have urinary tract infection with proteinuria and hematuria.She may need culture and sensitivity of urine,24 hour protein excretion in urine.
Findings also suggests low hemoglobin.She may need iron supplementation.She should take iron rich food and can take iron-zinc tablet supplementation.
Blood protein is also low.It may be due to proteinuria.
Blood electrolytes like sodium,calcium,chloride are also low.
Anemia,proteinuria with low electrolytes may indicate renal problem.
C3,C4 level are low and CRP,RA factor are increased,it may indicate autoimmune inflammatory causes.
Thyroid profile is also deranged.She may need thyroid tablet start with 75 microgram once daily.
She may need proper evaluation by a nephrologist.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Anemia,proteinuria with low electrolytes may indicate renal problem.
Detailed Answer:
Hello
I have gone through your mother in law findings in detail.
She may have urinary tract infection with proteinuria and hematuria.She may need culture and sensitivity of urine,24 hour protein excretion in urine.
Findings also suggests low hemoglobin.She may need iron supplementation.She should take iron rich food and can take iron-zinc tablet supplementation.
Blood protein is also low.It may be due to proteinuria.
Blood electrolytes like sodium,calcium,chloride are also low.
Anemia,proteinuria with low electrolytes may indicate renal problem.
C3,C4 level are low and CRP,RA factor are increased,it may indicate autoimmune inflammatory causes.
Thyroid profile is also deranged.She may need thyroid tablet start with 75 microgram once daily.
She may need proper evaluation by a nephrologist.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.
Above answer was peer-reviewed by :
Dr. Neel Kudchadkar
Answered by
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