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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Changes Could Be Seen If EOS Is Out Of Range?

My Eos is out of Range     7 what is this?      And my Hemoglobin A1c also.     %      here is my last work up: Lab Receipt: 1/31/2014 9:11:00 PM Collection: 1/31/2014 1:41:00 PM Results: 2/1/2014 2:09:00 PM Description     Out-of-Range     In-Range     Units     Expected     Status       005009 - CBC With Differential/Platelet WBC          6.0     x10E3/uL     3.4-10.8     F RBC          4.83     x10E6/uL     3.77-5.28     F Hemoglobin          14.1     g/dL     11.1-15.9     F Hematocrit          42.6     %     34.0-46.6     F MCV          88     fL     79-97     F MCH          29.2     pg     26.6-33.0     F MCHC          33.1     g/dL     31.5-35.7     F RDW          14.8     %     12.3-15.4     F Platelets          311     x10E3/uL     155-379     F Neutrophils          61     %     40-74     F Lymphs          23     %     14-46     F Monocytes          8     %     4-12     F Eos     7          %     0-5     F Basos          1     %     0-3     F Immature Cells                         X Neutrophils (Absolute)          3.7     x10E3/uL     1.4-7.0     F Lymphs (Absolute)          1.4     x10E3/uL     0.7-3.1     F Monocytes(Absolute)          0.5     x10E3/uL     0.1-0.9     F Eos (Absolute)          0.4     x10E3/uL     0.0-0.4     F Baso (Absolute)          0.0     x10E3/uL     0.0-0.2     F Immature Granulocytes          0     %     0-2     F Immature Grans (Abs)          0.0     x10E3/uL     0.0-0.1     F NRBC                         X Hematology Comments:                         X 322000 - Comp. Metabolic Panel (14) Glucose, Serum          89     mg/dL     65-99     F BUN          13     mg/dL     6-24     F Creatinine, Serum          0.68     mg/dL     0.57-1.00     F eGFR If NonAfricn Am          97     mL/min/1.73      59     F eGFR If Africn Am          112     mL/min/1.73      59     F BUN/Creatinine Ratio          19          9-23     F Sodium, Serum          140     mmol/L     134-144     F Potassium, Serum          4.6     mmol/L     3.5-5.2     F Chloride, Serum          103     mmol/L     97-108     F Carbon Dioxide, Total          24     mmol/L     19-28     F Calcium, Serum          9.4     mg/dL     8.7-10.2     F Protein, Total, Serum          6.8     g/dL     6.0-8.5     F Albumin, Serum          4.3     g/dL     3.5-5.5     F Globulin, Total          2.5     g/dL     1.5-4.5     F A/G Ratio          1.7          1.1-2.5     F Bilirubin, Total          0.4     mg/dL     0.0-1.2     F Alkaline Phosphatase, S          72     IU/L     39-117     F AST (SGOT)          19     IU/L     0-40     F ALT (SGPT)          16     IU/L     0-32     F 235010 - Lipid Panel With LDL/HDL Ratio Cholesterol, Total     201          mg/dL     100-199     F Triglycerides          93     mg/dL     0-149     F HDL Cholesterol          65     mg/dL      39     F According to ATP-III Guidelines, HDL-C 59 mg/dL is considered a negative risk factor for CHD. VLDL Cholesterol Cal          19     mg/dL     5-40     F LDL Cholesterol Calc     117          mg/dL     0-99     F Comment:                         X LDL/HDL Ratio          1.8     ratio units     0.0-3.2     F 001453 - Hemoglobin A1c Hemoglobin A1c     5.8          %     4.8-5.6     F . Increased risk for diabetes: 5.7 - 6.4 Diabetes: 6.4 Glycemic control for adults with diabetes: 081950 - Vitamin D, 25-Hydroxy Vitamin D, 25-Hydroxy          40.8     ng/mL     30.0-100.0     F Vitamin D deficiency has been defined by the Institute of Medicine and an Endocrine Society practice guideline as a level of serum 25-OH vitamin D less than 20 ng/mL (1,2). The Endocrine Society went on to further define vitamin D insufficiency as a level between 21 and 29 ng/mL (2). 1. IOM (Institute of Medicine). 2010. Dietary reference intakes for calcium and D. Washington DC: The National Academies Press. 2. Holick MF, Binkley NC, Bischoff-Ferrari HA, et al. Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline. JCEM. 2011 Jul; 96(7):1911-30. 330015 - Thyroid Cascade Profile TSH          2.230     uIU/mL     0.450-4.500     F 910385 - Cardiovascular Risk Assessment
Wed, 7 May 2014
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,
The eosinophils are increased in several conditions. The common ones are:
Parasitic infections
Allergies like hay fever, asthma, urticaria, food allergy, drug allergy, dust allergy etc.
Drug therapy
Loeffler's syndrome
Tropical eosinophilia
Kimura disease
Neoplasms- CML, Hodgkins lymphoma, Non-Hodgkins lymphoma

The eosinophil count is slightly increased in your case.
Neoplasms are unlikely as the increase is slight.
Other causes of eosinophilia should be ruled out.
You can consult your doctor with the report for clinical assessment to look for the cause of eosinophilia.

Thanks and take care
Dr Shailja P Wahal

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What Changes Could Be Seen If EOS Is Out Of Range?

Hello and welcome to HCM, The eosinophils are increased in several conditions. The common ones are: Parasitic infections Allergies like hay fever, asthma, urticaria, food allergy, drug allergy, dust allergy etc. Drug therapy Loeffler s syndrome Tropical eosinophilia Kimura disease Neoplasms- CML, Hodgkins lymphoma, Non-Hodgkins lymphoma The eosinophil count is slightly increased in your case. Neoplasms are unlikely as the increase is slight. Other causes of eosinophilia should be ruled out. You can consult your doctor with the report for clinical assessment to look for the cause of eosinophilia. Thanks and take care Dr Shailja P Wahal