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Dr. Andrew Rynne

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Does A Urine Test Report Showing Hyaline Casts, Low Serum, MCH, Mean Corpuscular Volume And Protein Levels Need Immediate Medical Attention?

I took a lipid panel was all normal but my urine came back for Hayaline Casts, Creatinine, Serum low, high chloride level, Protein was low, mucus present in urine and my CBC was Component     Your Value     Flag WBC     5.8 x10E3/uL          RBC     3.93 x10E6/uL          Hemoglobin     7.4 g/dL          Low Hematocrit     25.9 %          Low MEAN CORPUSCULAR VOLUME     66 fL          Low MCH     18.8 pg          Low MCHC     28.6 g/dL          Low RDW     19.3 %          High Platelets     417 x10E3/uL          High I have had bllod transfusions in a few months ago because I bleed alot from uterine fibroids but what does all of this mean?
Fri, 27 Dec 2019
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Pathologist and Microbiologist,  's  Response
Hello,

The report posted by you is that of complete blood count (CBC). The CBC report shows low hemoglobin, low hematocrit, low MCV, MCH and MCHC.

This picture is suggestive of microcytic hypochromic anemia. I suggest you to get peripheral blood smears examination and iron studies since iron deficiency is the most common cause of microcytic hypochromic anemia.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Shailja Puri , Pathologist and Microbiologist
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Does A Urine Test Report Showing Hyaline Casts, Low Serum, MCH, Mean Corpuscular Volume And Protein Levels Need Immediate Medical Attention?

Hello, The report posted by you is that of complete blood count (CBC). The CBC report shows low hemoglobin, low hematocrit, low MCV, MCH and MCHC. This picture is suggestive of microcytic hypochromic anemia. I suggest you to get peripheral blood smears examination and iron studies since iron deficiency is the most common cause of microcytic hypochromic anemia. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shailja Puri , Pathologist and Microbiologist