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Having bilateral pedal edema. Blood and urine results shows hemoglobin and ceretinine level normal.Presence of epithilial and RBC cells. Having throat infection, sweating and weakness

hello sir i am 26 year old male, havin bilateral pedal edema as i obsered last night so i went for blood and urine test results are hb 14.4 gm% serum albumin 3.7mg% ceretinine 1.1 mg% and urine albumin trace and urine microscopy epithilial cells present and rbc 1-2, and today i am having throat infection sweating as well as weakness, since yesterday i an taking ors, please give me your valuable suggestion thank you
Asked On : Wed, 13 Jun 2012
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Pulmonologist 's  Response
thanks for ur query on HCM
b/l pedal edema to start with is more indicative of cardiac disease
though u have less serum albumin
u didnt mention A:G ratio
urinary albumin trace
so u have to exclude kidney diseases as well
recently u developped sore throat also
u ve to exclude streptococcal infection and its sequel
u need to have following.........
1. serum ASO titre
2. throat swab staining and culture
3. echocardiography
4. ECG
u need to have high protein diet
look for regular follow up with urea, creatinine, urine r/e
kidney biopsy can be performed if diagnosis is not made from above
thank u
take care
Answered: Wed, 13 Jun 2012
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