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What Does My Blood Test Report Indicate?

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Posted on Tue, 31 Oct 2017
Question: I am trying to understand my blood work
EGFR -L 66
SGPT-ALT -L 21
GLOBULIN -H 3.8
ESR-AUTO -H 33
REALYMPH -H 1%
LDL -H 193.8
CHOL -H 263
K —LL 3.0
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Answered by Dr. Bonnie Berger-Durnbaugh (1 hour later)
Brief Answer:
Information

Detailed Answer:
Hello and welcome,

With each of these lab tests, the meaning of their results depends very much on the clinical problem that they were ordered for. Otherwise, there is a string of unrelated health problems that each can represent.

I can start by providing the name for each and why it is ordered:

EGFR
This stands for estimated glomerular filtration rate. It is used to measure the level of kidney function. It is calculated from the results of blood creatinine level, age, body size, and sex. Normal ranges can vary by race too. The "E" means that it is an estimation, so malnutrition and other factors can throw it off.

SGPT-ALT
Serum glutamic-pyruvic transaminase and alanine aminotransferase (ALT). These are liver enzymes. Some are normally spilled into the blood circulation. High levels are a sign of liver damage or inflammation. Low levels are typically a good thing, and yours is in a normal range by most lab standards.

Globulin
This is a type of blood protein. High levels may indicate infection, inflammatory disease or immune disorders. High globulin levels may also indicate certain types of cancer, such as multiple myeloma, Hodgkin's disease, or malignant lymphoma. As I mentioned, the clinical problems for which your doctor ordered this test (along with the results of other tests) is the best guide for figuring out the meaning of having an elevation here.

ESR
Erythrocyte sedimentation rate (or "sed rate"). This is an indication of the presence of inflammation in the body. It can be elevated from infection, injury, autoimmune problems or malignancies. It is very non-specific and doesn't show the origin of the inflammation so it needs to be interpreted in the context of symptoms or clinical presentation of problems.

REALYMPH
I am not sure what the lab is using this abbreviation to spell. Was this part of a CBC (complete blood count) and refers to lymphocytes?

LDL and CHOL
CHOL is the total cholesterol including both good cholesterol (HDL) and "bad" cholesterol (LDL). Your LDL is high and your doctor may want you to make dietary changes or if you have other cardiac risk factors, may suggest a statin drug.

K
With a potassium of 3.0, you have hypokalemia. Yours isn't severe, but should be addressed. Causes of low potassium include vomiting and diarrhea, steroid use, inadequate dietary intake, water pill called furosemide, diabetes insidious, low magnesium, low aldosterone, and renal dialysis.

I hope this information helps.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3134 Questions

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What Does My Blood Test Report Indicate?

Brief Answer: Information Detailed Answer: Hello and welcome, With each of these lab tests, the meaning of their results depends very much on the clinical problem that they were ordered for. Otherwise, there is a string of unrelated health problems that each can represent. I can start by providing the name for each and why it is ordered: EGFR This stands for estimated glomerular filtration rate. It is used to measure the level of kidney function. It is calculated from the results of blood creatinine level, age, body size, and sex. Normal ranges can vary by race too. The "E" means that it is an estimation, so malnutrition and other factors can throw it off. SGPT-ALT Serum glutamic-pyruvic transaminase and alanine aminotransferase (ALT). These are liver enzymes. Some are normally spilled into the blood circulation. High levels are a sign of liver damage or inflammation. Low levels are typically a good thing, and yours is in a normal range by most lab standards. Globulin This is a type of blood protein. High levels may indicate infection, inflammatory disease or immune disorders. High globulin levels may also indicate certain types of cancer, such as multiple myeloma, Hodgkin's disease, or malignant lymphoma. As I mentioned, the clinical problems for which your doctor ordered this test (along with the results of other tests) is the best guide for figuring out the meaning of having an elevation here. ESR Erythrocyte sedimentation rate (or "sed rate"). This is an indication of the presence of inflammation in the body. It can be elevated from infection, injury, autoimmune problems or malignancies. It is very non-specific and doesn't show the origin of the inflammation so it needs to be interpreted in the context of symptoms or clinical presentation of problems. REALYMPH I am not sure what the lab is using this abbreviation to spell. Was this part of a CBC (complete blood count) and refers to lymphocytes? LDL and CHOL CHOL is the total cholesterol including both good cholesterol (HDL) and "bad" cholesterol (LDL). Your LDL is high and your doctor may want you to make dietary changes or if you have other cardiac risk factors, may suggest a statin drug. K With a potassium of 3.0, you have hypokalemia. Yours isn't severe, but should be addressed. Causes of low potassium include vomiting and diarrhea, steroid use, inadequate dietary intake, water pill called furosemide, diabetes insidious, low magnesium, low aldosterone, and renal dialysis. I hope this information helps.