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What Causes Low WBC Count, Pain In Chest And Left Arm?
Question: recent visit to er had low wbc and bad stomach pains and chest pain !!! did scan of stomach and blood work ekg results normal still have terrible chest pain ArM pain left arm and hand pain and had pain in head
Brief Answer:
An infectious disease should be excluded first.
Detailed Answer:
Hello! Thank you for your question on HCM! Regarding your concern I recommend you to refer to an infectionist, as you clinical scenario (fluctuating pain coupled with low WBC) is compatible with a systemic and infectious disease.It is important to explore a careful rrecent and far epidemiological history; a physical exam for systemic and cutaneous involvement; a repeated complete blood count, ESR, PCR. According to preliminary findings, additional tests may be needed: cardiac ultrasound to rule out myopericarditis, AST, ALT, CPK, CK-MB, Troponin to rule out skeletal and heart muscle involvement, etc. Several viral immunological tests may be needed. Other bacteral infections may be suspected; for example borreliosis (fluctuating pain, probable articular involvement, etc). After that any radiological tests like chest X ray or CT scan (or MRI) may be needed if organ damage is suspected.
If you bring detailed information about lab tests and exams it would be easier to guide appropriately the diagnosis.
Feel free to ask me whenever you need. Greetings from Dr. Iliri.
An infectious disease should be excluded first.
Detailed Answer:
Hello! Thank you for your question on HCM! Regarding your concern I recommend you to refer to an infectionist, as you clinical scenario (fluctuating pain coupled with low WBC) is compatible with a systemic and infectious disease.It is important to explore a careful rrecent and far epidemiological history; a physical exam for systemic and cutaneous involvement; a repeated complete blood count, ESR, PCR. According to preliminary findings, additional tests may be needed: cardiac ultrasound to rule out myopericarditis, AST, ALT, CPK, CK-MB, Troponin to rule out skeletal and heart muscle involvement, etc. Several viral immunological tests may be needed. Other bacteral infections may be suspected; for example borreliosis (fluctuating pain, probable articular involvement, etc). After that any radiological tests like chest X ray or CT scan (or MRI) may be needed if organ damage is suspected.
If you bring detailed information about lab tests and exams it would be easier to guide appropriately the diagnosis.
Feel free to ask me whenever you need. Greetings from Dr. Iliri.
Above answer was peer-reviewed by :
Dr. Prasad
they did troponin and did scan of stomach! I went to a hematologist and he said blood work was OK but still worried may go back to er and make appointment with infectious disease doctor
Brief Answer:
A careful evaluation is needed by an infectionist.
Detailed Answer:
Hello again! It is a good news that troponin and other blood tests resulted normal. Hematologist conclusion and scan results are important as they help to redirect the diagnostic investigation in case the disturbances persist. Your complains are more compatible with an infectious problem, and for this reason you should consult an infectious disease specialist. If symptoms persist a serious work up should be done.
I wish you a good health!
Feel free to ask me if you have additional information. My Best Regards! Dr. Iliri
A careful evaluation is needed by an infectionist.
Detailed Answer:
Hello again! It is a good news that troponin and other blood tests resulted normal. Hematologist conclusion and scan results are important as they help to redirect the diagnostic investigation in case the disturbances persist. Your complains are more compatible with an infectious problem, and for this reason you should consult an infectious disease specialist. If symptoms persist a serious work up should be done.
I wish you a good health!
Feel free to ask me if you have additional information. My Best Regards! Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Prasad
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