Whyte Noise
Senior Member
What is the name of your state? TN
This isn't a malpractice issue, but a medical one that I'd like your interpretation on if you don't mind. I lost your E-mail addy, or I'd e-mail you directly.
Last Sunday, went to the ER with sever upper abdominal pain that radiated into my lower abdomen and upper back. I thought I was having another gall bladder attack. Blood was drawn, and x-rays ordered. X-rays showed "No acute abdominal findings by plain film. Probable disk space narrowing L4-5."
The actual ER report states:
"LABORATORY DATA: Urinalysis revealed a specific gravity of 1.025. There was no hemoglobin. There were no red blood cells. There were positive nitrites, 5-10 white blood cells, and 1+ bacteria. There is 25 units of leukocyte esterase. Complete count revealed a white blood cell count of 19,800 with 68 segs, 29 lymphocytes, 2 monocytes 1 eosinophil. Hemoglobin is 15.2, hematocrit 43.2. There were no bands. Blood chemistries revealed a sodium of 135, potassium 4.2, chloride 100, cO2 26, BUN 11, creatinine 0.9, glucose 188. Liver function tests were within normal limits.Amylase was within normal limits."
On the actual bloodwork, CBC W/DIFF:
WBC - 19.8 (high)
Corrected WBC - 19.8 (high)
Under DIFF:
segs - 68 (high)
Everything else on the bloodwork was within normal limits.
On CMP:
NA - 135 (low)
CL - 100 (low)
Glucose - 188 (high) *I am diabetic, on oral meds*
Calcium - 8.7 (low)
On the UA:
DIPSTICK:
UA LK ESTERASE - 25/UL
UA NITRITE - positive
UA PROTEIN - 15 MG/CL
UA GLUCOSE - Trace (50 MG/DL)
MICROSCOPIC:
UA WBC - 5-10
UA EPITH CELLS - 4-5
UA BACTERIA - 1+
I've only listed here what was not within normal limits. If it's not listed here, then I was OK on that one.
Now, I know why my glucose is high. Like I posted above, I'm diabetic. I also know that an elevated WBC count usually means an infection. They did diagnose me with a UTI.
They also did an EKG on me. The findings on that one:
Interpretation: Abnormal
No explanation about WHAT was abnormal... just, ABNORMAL. Now, I do have mitral valve prolapse, and when I have an EKG done I have inverted T-Waves. I already know that. I just hope that was the "abnormal" they were talking about! :/
Anywho... the ER doc wanted me to follow up with my PCP, and they were also going to order an abdominal ultrasound. I followed up the next day (Monday), had the US Tuesday. The US report states:
"There are multiple small hypoechoic areas within the liver which appear to lie within the right hepatic lobe. These are not typical of cyst or hemangiomas. Recommend abdominal CT with and without contrast." Everything else in the US was normal. Nothing else noted.
Had the CT done 2 days ago, on Monday. CT report says:
FINDINGS:
Lung bases: normal
Liver: normal
Biliary system: normal
Spleen: normal
Pancreas: normal
Adrenals: normal
Kidneys: normal
Aorta: mild calcification
Small Intestine: normal
Lrge Intestine: normal
Lymph nodes/mesentery: normal
Intraperitoneal fluid: none
IMPRESSION: Normal examination.
Everything on the CT was "normal", except that it picked up mild calcification in the aorta.
Now that I've given all the test information...
Can you explain the bloodwork results to me?
And why in the hell would something show up on a US, then a week later be gone when the CT is done??? Where did it go? What was it to begin with?
My PCP now has me seeing a gastroenterologist Friday to see if they can figure out what's going on. He's had me have blood drawn 3 times in the last week, because I had AFP levels in my blood that were >500. The first time is was over 500, he had it redrawn. The second time it was over 500, he had me come in once again to have it redrawn, and sent to a different lab. THIS time, it came back <500 from this different lab. The >500 readings, along with what the US found, had him (and ME) thinking I might have liver cancer! But, he kept retesting until he got a reading <500, and now the CT doesn't show anything on my liver at all, even though the US said there were "multiple" things on my liver.
What in the world is going on? Any idea?
This isn't a malpractice issue, but a medical one that I'd like your interpretation on if you don't mind. I lost your E-mail addy, or I'd e-mail you directly.
Last Sunday, went to the ER with sever upper abdominal pain that radiated into my lower abdomen and upper back. I thought I was having another gall bladder attack. Blood was drawn, and x-rays ordered. X-rays showed "No acute abdominal findings by plain film. Probable disk space narrowing L4-5."
The actual ER report states:
"LABORATORY DATA: Urinalysis revealed a specific gravity of 1.025. There was no hemoglobin. There were no red blood cells. There were positive nitrites, 5-10 white blood cells, and 1+ bacteria. There is 25 units of leukocyte esterase. Complete count revealed a white blood cell count of 19,800 with 68 segs, 29 lymphocytes, 2 monocytes 1 eosinophil. Hemoglobin is 15.2, hematocrit 43.2. There were no bands. Blood chemistries revealed a sodium of 135, potassium 4.2, chloride 100, cO2 26, BUN 11, creatinine 0.9, glucose 188. Liver function tests were within normal limits.Amylase was within normal limits."
On the actual bloodwork, CBC W/DIFF:
WBC - 19.8 (high)
Corrected WBC - 19.8 (high)
Under DIFF:
segs - 68 (high)
Everything else on the bloodwork was within normal limits.
On CMP:
NA - 135 (low)
CL - 100 (low)
Glucose - 188 (high) *I am diabetic, on oral meds*
Calcium - 8.7 (low)
On the UA:
DIPSTICK:
UA LK ESTERASE - 25/UL
UA NITRITE - positive
UA PROTEIN - 15 MG/CL
UA GLUCOSE - Trace (50 MG/DL)
MICROSCOPIC:
UA WBC - 5-10
UA EPITH CELLS - 4-5
UA BACTERIA - 1+
I've only listed here what was not within normal limits. If it's not listed here, then I was OK on that one.
Now, I know why my glucose is high. Like I posted above, I'm diabetic. I also know that an elevated WBC count usually means an infection. They did diagnose me with a UTI.
They also did an EKG on me. The findings on that one:
Interpretation: Abnormal
No explanation about WHAT was abnormal... just, ABNORMAL. Now, I do have mitral valve prolapse, and when I have an EKG done I have inverted T-Waves. I already know that. I just hope that was the "abnormal" they were talking about! :/
Anywho... the ER doc wanted me to follow up with my PCP, and they were also going to order an abdominal ultrasound. I followed up the next day (Monday), had the US Tuesday. The US report states:
"There are multiple small hypoechoic areas within the liver which appear to lie within the right hepatic lobe. These are not typical of cyst or hemangiomas. Recommend abdominal CT with and without contrast." Everything else in the US was normal. Nothing else noted.
Had the CT done 2 days ago, on Monday. CT report says:
FINDINGS:
Lung bases: normal
Liver: normal
Biliary system: normal
Spleen: normal
Pancreas: normal
Adrenals: normal
Kidneys: normal
Aorta: mild calcification
Small Intestine: normal
Lrge Intestine: normal
Lymph nodes/mesentery: normal
Intraperitoneal fluid: none
IMPRESSION: Normal examination.
Everything on the CT was "normal", except that it picked up mild calcification in the aorta.
Now that I've given all the test information...
Can you explain the bloodwork results to me?
And why in the hell would something show up on a US, then a week later be gone when the CT is done??? Where did it go? What was it to begin with?
My PCP now has me seeing a gastroenterologist Friday to see if they can figure out what's going on. He's had me have blood drawn 3 times in the last week, because I had AFP levels in my blood that were >500. The first time is was over 500, he had it redrawn. The second time it was over 500, he had me come in once again to have it redrawn, and sent to a different lab. THIS time, it came back <500 from this different lab. The >500 readings, along with what the US found, had him (and ME) thinking I might have liver cancer! But, he kept retesting until he got a reading <500, and now the CT doesn't show anything on my liver at all, even though the US said there were "multiple" things on my liver.
What in the world is going on? Any idea?