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Suggest Treatment For Severe Shoulder And Bone Pain
Question: I went to er with all over joint pain as well as extreme pain in my right shoulder and bone pain in my left and right forearms. Skin is sensitive to touch on left forearm. Here we're the results of urinalysis: WBC's UA/HPF:3-5/HPF. RBC, urine/Hpf: 0-3 hpf. Bacteria, urine Hpf: none/hpf.
MUCOUS, UR SED, QL, AUTOMATED COUNT: present/hpf. SQUAMOUS EPITHELIAL CELLS, URINE SED, AUTOMATED COUNT, QUAL: few/hpf. extreme tiredness and fatigue constant urination at night. Here was my white blood cell differential test:
Component Results
Component Your Value Standard Range
NEUTROPHILS %, AUTOMATED COUNT 71.1
LYMPHOCYTES %, AUTOMATED COUNT 18.4
MONOS %, AUTO 7.8
EOSINOPHILS %, AUTOMATED COUNT 1.9
BASOPHILS %, AUTOMATED COUNT 0.7
NEUTROPHILS, ABSOLUTE, AUTOMATED COUNT 4.52 x1000/mcL 1.80 - 7.70 x1000/mcL
LYMPHOCYTES, AUTOMATED COUNT 1.17 x1000/mcL 1.00 - 3.60 x1000/mcL
MONOCYTES, AUTOMATED COUNT 0.50 x1000/mcL 0.10 - 1.00 x1000/mcL
EOSINOPHILS, AUTOMATED COUNT 0.12 x1000/mcL 0.00 - 0.70 x1000/mcL
BASOPHILS, AUTOMATED COUNT 0.05 x1000/mcL 0.00 - 0.20 x1000/mcL
My sister has systemic scleroderma and I'm just wondering if I should be evaluated for that as well?
MUCOUS, UR SED, QL, AUTOMATED COUNT: present/hpf. SQUAMOUS EPITHELIAL CELLS, URINE SED, AUTOMATED COUNT, QUAL: few/hpf. extreme tiredness and fatigue constant urination at night. Here was my white blood cell differential test:
Component Results
Component Your Value Standard Range
NEUTROPHILS %, AUTOMATED COUNT 71.1
LYMPHOCYTES %, AUTOMATED COUNT 18.4
MONOS %, AUTO 7.8
EOSINOPHILS %, AUTOMATED COUNT 1.9
BASOPHILS %, AUTOMATED COUNT 0.7
NEUTROPHILS, ABSOLUTE, AUTOMATED COUNT 4.52 x1000/mcL 1.80 - 7.70 x1000/mcL
LYMPHOCYTES, AUTOMATED COUNT 1.17 x1000/mcL 1.00 - 3.60 x1000/mcL
MONOCYTES, AUTOMATED COUNT 0.50 x1000/mcL 0.10 - 1.00 x1000/mcL
EOSINOPHILS, AUTOMATED COUNT 0.12 x1000/mcL 0.00 - 0.70 x1000/mcL
BASOPHILS, AUTOMATED COUNT 0.05 x1000/mcL 0.00 - 0.20 x1000/mcL
My sister has systemic scleroderma and I'm just wondering if I should be evaluated for that as well?
Brief Answer:
Have you been tested for diabetes ?
Detailed Answer:
Hi and thanks so much for this query.
1. I have reviewed you information fully. The diffuse nature of this pain makes it unlikely to be related to a possible bone metastases of the previous melanoma. If it were, it would be localized pain as opposed to pain in multiple and unrelated positions.
For this reason, I will rather suggest you see a Rheumatologist for evaluation for possible causes such as fibromyalgia.
2. Your test results are within normal ranges only. As for excessive urination at night, this could point to diabetes. I strongly recommend that you get evaluated for diabetes.
I hope to hear back from you. I wish you well.
Feel free to follow up with me for more clarifications and insights if need be.
Kind Regards
Have you been tested for diabetes ?
Detailed Answer:
Hi and thanks so much for this query.
1. I have reviewed you information fully. The diffuse nature of this pain makes it unlikely to be related to a possible bone metastases of the previous melanoma. If it were, it would be localized pain as opposed to pain in multiple and unrelated positions.
For this reason, I will rather suggest you see a Rheumatologist for evaluation for possible causes such as fibromyalgia.
2. Your test results are within normal ranges only. As for excessive urination at night, this could point to diabetes. I strongly recommend that you get evaluated for diabetes.
I hope to hear back from you. I wish you well.
Feel free to follow up with me for more clarifications and insights if need be.
Kind Regards
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Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
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