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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Blood In Protein In Urine With Elevated WBC And RBC Levels?

19 yr old male with blood and protein in urine, and recently elevated WBC and RBC along with cloudy showed with latest urinalysis. Had US kidney, CT scan w and wout contrast which came back normal. Nephrologist refused to see and referred back to urologist. Also had titer Ana in past. appt w rheumatologist (other one had him do 3 tests and then refused to see him as well) back to IM and now is scheduled with another rheumatologist, but not until 3rd week June. This all started 1 year ago when he became sick and fever and was told UTI. Ended up on ER and doctor there said didn t think UTI, but maybe kidney. got sick again in feb and again im put him on antibiotics and that s when I insisted on urologist appt not believing was UTI. Cant get the latest results explained by im until we see him in person, which is not until June 6. Patient does NOT drink, smoke or take any drugs. What is the fee charged for medical doctor opinion?
Mon, 23 Mar 2020
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General Surgeon,  's  Response
Hello,

The many of the relevant information to pin point to particular possibility of kidney pathology are not available as amount of protein in urine, additional cast or sediments through which we can differentiate between the nephritic and nephrotic syndrome ahead. A kidney biopsy is the key report necessary when all scan reports are normal and persistent symptoms or lab data is suggestive of kidney malfunction.

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

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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What Causes Blood In Protein In Urine With Elevated WBC And RBC Levels?

Hello, The many of the relevant information to pin point to particular possibility of kidney pathology are not available as amount of protein in urine, additional cast or sediments through which we can differentiate between the nephritic and nephrotic syndrome ahead. A kidney biopsy is the key report necessary when all scan reports are normal and persistent symptoms or lab data is suggestive of kidney malfunction. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon