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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Swollen Vein After Injury, Tenderness, Low Blood Pressure. CBC Shows High Red Cells And Hemoglobin. Ideas?

I stepped down hard on a rock two days ago. A vein below my left calf instantly swelled, turned the area around it red as well. Pain was level 10. Yesterday the redness was gone. Swollen and tender to the touch. Today I have an 5"diameter bruise around the whole area. Still tender to touch. I have very low blood pressure but a recent cbc had high red cells & hemaglobin. Ideas? Should I call my Dr.?
Tue, 30 Jul 2013
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General & Family Physician,  's  Response
Hi and thanks for the query,

Raised hemoglobin and blood cells are raised under two main circumstances. First , this is usually due to errors in the measurement of these parameters and the machine used might need to be checked or the test done elsewhere. Secondly, in case the values are actually raised, there is a condition called polycythemia rubra vera of Vaquez disease that causes this. This is usually accompanied by redness in the palms, headaches and body itches.

I suggest you consult a hematologist for a complete clinical review. Thanks and kind regards,

Bain LE, MD.

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Swollen Vein After Injury, Tenderness, Low Blood Pressure. CBC Shows High Red Cells And Hemoglobin. Ideas?

Hi and thanks for the query, Raised hemoglobin and blood cells are raised under two main circumstances. First , this is usually due to errors in the measurement of these parameters and the machine used might need to be checked or the test done elsewhere. Secondly, in case the values are actually raised, there is a condition called polycythemia rubra vera of Vaquez disease that causes this. This is usually accompanied by redness in the palms, headaches and body itches. I suggest you consult a hematologist for a complete clinical review. Thanks and kind regards, Bain LE, MD.