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What Does My Lab Test Report Indicate?

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Posted on Wed, 12 Oct 2016
Question: Hi doctor


please see attached lab report. prescription not available with me.
doctor
Answered by Dr. Dr. Prasad J (3 hours later)
Brief Answer:
Need details....

Detailed Answer:
Hi,

I went through the attached report. He has low hemoglobin value along with low hematocrit, MCV and MCHC - features of microcytic anemia. He also has positive widal titre - feature of typhoid.

However before we come to any conclusion, I would like to know why this test was ordered. What symptoms did this patient have?

Looking forwards to your reply...

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Prasad J (8 hours later)
patient was having high fever and this test was conducted with suspicion of mosquito born diseases and doc here concluded it to be Typhoid and kid was hospitalised and since yesterday morning fever is going up and down. whats your view on this and how can be treated low hemoglobin
doctor
Answered by Dr. Dr. Prasad J (12 hours later)
Brief Answer:
double infection....

Detailed Answer:
The reports you uploaded reveals positive results for both dengue as well as typhoid. I hope all other tests including malaria, urine infection and others are performed as well.

At this time, hospitalisation is a good choice. He should be treated with antibiotics to cover typhoid infection along with iv fluid therapy and medications to treat fever. During treatment, his platelet count as well as hematocrit should be monitored.

Hope this helps.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Prasad J (40 minutes later)
Thanks doctor. I am bit confused with Dengue diagnosis as I see platlate count is in range. Please clarify which part of report are you referring for dengue.
doctor
Answered by Dr. Dr. Prasad J (22 minutes later)
Brief Answer:
Misinterpretation...

Detailed Answer:
Hi, I am sorry that was an error. I was reviewing another patient who had dengue with typhoid. In your case, I did not find dengue report. But it would be wise to test for dengue also - dengue IGM as well as Dengue NS1 antigen test and rule this out.

I hope its clear now.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Prasad J

General & Family Physician

Practicing since :2005

Answered : 3707 Questions

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What Does My Lab Test Report Indicate?

Brief Answer: Need details.... Detailed Answer: Hi, I went through the attached report. He has low hemoglobin value along with low hematocrit, MCV and MCHC - features of microcytic anemia. He also has positive widal titre - feature of typhoid. However before we come to any conclusion, I would like to know why this test was ordered. What symptoms did this patient have? Looking forwards to your reply... Regards