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I Had An Appointment With A Hematologist/ Oncologist Today Due

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Posted on Sun, 29 Sep 2019
Question: I had an appointment with a hematologist/oncologist today due to abnormal CBC results, specifically elevated platelet counts (previous readings 675, 829, 772 and from today's appointment 748). WBC has previously been elevated at 14.5 and 12.4 with today's result 11.8. RBC has been 5.89, 5.59 and today 5.71. MCV has been has previously been low at 77.1 and today 77.4. MCH previously low at 24.7 and today 24.3. RDW-CV previously 17.4, 16.8 and today 19.3. Hemoglobin, hematocrit. MCHC and MPV have remained within normal parameters. Also of note from today's labs: Neutrophils: 74%, Lymphocytes 17%, Monocytes 3%, Eosinophils 2%, Basophils 1%, Band 3%, Cells counted 100# cells, Platelet estimation: increased, WBC Morph: normal, Microcytosis: normal, Large platelets: normal. LDH 292, C Reactive Protein 0.37, Erthrocyte Sedimentation Rate Westergren 13, Ferriten 66, Iron and Transferrin levels 28 and 253 respectively. Blood for JAK2 reflex, BCR ABL Peripheral Blood, ESR and CRP submitted to lab, but results have not yet returned. Please give me your clinical observations as well as your potential diagnoses. Thank you for your time.
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Answered by Dr. Hardik Sanghvi (16 hours later)
Brief Answer:
You may have reactive thrombocytosis.

Detailed Answer:
Hi, dear
I have gone through your question.
I can understand your concern.

From your results I can see that you have elevated platelets count and wbc count. But they are decreasing now. So mostly it is due to reactive thrombocytosis and it will come down to normal. It may be due to some infection.

So overall your reports are good and does not indicate any serious illness.

Your JAK 2 and BCR ABL reports are submitted. But in my opinion mostly they will come negative. So don't worry much abouts that.

Rest all parameters are normal except slight low level of iron.

Please give me follow up with your submitted lab reports.

Thanks for using health care magic. Wish you a very good health.
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Above answer was peer-reviewed by : Dr. Nagamani Ng
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Dr. Hardik Sanghvi

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Practicing since :2008

Answered : 7043 Questions

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I Had An Appointment With A Hematologist/ Oncologist Today Due

Brief Answer: You may have reactive thrombocytosis. Detailed Answer: Hi, dear I have gone through your question. I can understand your concern. From your results I can see that you have elevated platelets count and wbc count. But they are decreasing now. So mostly it is due to reactive thrombocytosis and it will come down to normal. It may be due to some infection. So overall your reports are good and does not indicate any serious illness. Your JAK 2 and BCR ABL reports are submitted. But in my opinion mostly they will come negative. So don't worry much abouts that. Rest all parameters are normal except slight low level of iron. Please give me follow up with your submitted lab reports. Thanks for using health care magic. Wish you a very good health.