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What Do My Lab Test Results Indicate?
Question: I am a 61-year-old female who recently went to a clinic for a check-up. My last examination was 5 years ago. I have experienced leg numbness and tingling from time to time. I am feeling thirsty and tired. What major problems can you identify? What subjective and objective information supports each of my problems? What is your assessment and plan for each problem? What medications and doses are appropriate ?These are my lab results. VS:BP 180/103 HR 73 RR 13 T 98.4 Wt 90 kg. Ht. F' 6'' HEENT : PERRLA COR: RRR.NMRG Chest: CTA EXT: normal Neuro: monofilament test shows decreased peripheral sensation Laboratory fasting: Na: 139 K: 3.8 ALT 34 Ca 9.1 CL 102 HCO3 22 AST 39 TP 6 BUN 33 SCr 1.8 Alb. 4.1 Cholesterol 254 BG 275 UA: SG 1.013, pH 6.5, +++ protein
Brief Answer:
Analysis of the case summary
Detailed Answer:
Good day,
Welcome to health care magic
Noted your concerns. From the list of problems listed and based on examination and lab findings, i have come to a conclusion that, You have
1) Type 2 Diabetes Mellitus ( uncontrolled)
2) Peipherel neuropathy
3) Dyslipidemia
4) Proteinuria
5) Renal impairement
6) Uncontrolled hypertension
High sugars and feeling thirsty and tired supports uncontrolled diabetes.
Feeling of tingling and numbness together with impaired monofilament test supports peripheral neuropathy.
High cholesterol supports Dyslipidemia.
+++ Urine protein and high creatinine supports chronic renal problems with proteinuria.
Tiredness could be also due to renal impairement assciated anemia.
To answer further, i need to know your current list of medicines ( unfortunately, they are not seen with this question).
I can further suggest following blood tests
a) CBC, ESR
b) Thyroid blood profile
c) Vitamin B12 and Folate levels.
Regards
Binu
Analysis of the case summary
Detailed Answer:
Good day,
Welcome to health care magic
Noted your concerns. From the list of problems listed and based on examination and lab findings, i have come to a conclusion that, You have
1) Type 2 Diabetes Mellitus ( uncontrolled)
2) Peipherel neuropathy
3) Dyslipidemia
4) Proteinuria
5) Renal impairement
6) Uncontrolled hypertension
High sugars and feeling thirsty and tired supports uncontrolled diabetes.
Feeling of tingling and numbness together with impaired monofilament test supports peripheral neuropathy.
High cholesterol supports Dyslipidemia.
+++ Urine protein and high creatinine supports chronic renal problems with proteinuria.
Tiredness could be also due to renal impairement assciated anemia.
To answer further, i need to know your current list of medicines ( unfortunately, they are not seen with this question).
I can further suggest following blood tests
a) CBC, ESR
b) Thyroid blood profile
c) Vitamin B12 and Folate levels.
Regards
Binu
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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