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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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PRF Shows Low Chloride, Had Thyroidectomy Due To Cancer. Still Noduels Left, Black Spots On Kidneys In Ultrasound. Any Worry ?

had a prf work done. came up with low chloride. just had a complete thyroidectomy in march due to cancer. the onocologist did not do followup tests to check to see if the cancer had spread. I know the nodules were in there for at least 4 years and nothing was done about it. my concern is the levels that came back on the blood and urine tests. I also had a ultrasound done yesterday on the kidneys an it showed black spots?
Tue, 18 Jun 2013
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General & Family Physician,  's  Response
Hello
A total thyroidectomy was done for you for cancer. The enlargement of the thyroid was there for 4 years. Was there any spread preoperatively. What was the biopsy report. Are you on thyroid tab now.
The black spot in the kidney may be a cyst, abscess or neoplasm.
The low chloride level may be due to low thyroid hormones affecting other hormone levels (endocrine disturbances), due to a kidney problem or due to any medications. You have to find the cause and treat it to correct the chloride level.
You have to consult the Endocrinologist and urologist for further management along chemotherapy or radiotherapy as advised
With warm regards
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PRF Shows Low Chloride, Had Thyroidectomy Due To Cancer. Still Noduels Left, Black Spots On Kidneys In Ultrasound. Any Worry ?

Hello A total thyroidectomy was done for you for cancer. The enlargement of the thyroid was there for 4 years. Was there any spread preoperatively. What was the biopsy report. Are you on thyroid tab now. The black spot in the kidney may be a cyst, abscess or neoplasm. The low chloride level may be due to low thyroid hormones affecting other hormone levels (endocrine disturbances), due to a kidney problem or due to any medications. You have to find the cause and treat it to correct the chloride level. You have to consult the Endocrinologist and urologist for further management along chemotherapy or radiotherapy as advised With warm regards