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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Hematology Report Signify?

Hematology WBC 9.0 4.0 - 11.0 10*9/L RBC 4.58 3.50 - 5.00 10*12/L Hemoglobin 138 115 - 160 g/L Hematocrit 0.42 0.35 - 0.47 L/L MCV 92 80 - 100 fL MCH 30.1 27.0 - 34.0 pg MCHC 329 315 - 365 g/L Platelet Count 271 150 - 400 10*9/L Differential Neutrophils 5.1 2.0 - 8.0 10*9/L Lymphocytes 2.7 1.0 - 4.0 10*9/L Monocytes H 1.0 10*9/L Eosinophils 0.1 10*9/L Basophils 0.0 10*9/L Granulocytes Immature 0.0 10*9/L General Chemistry Glucose Fasting 5.0 3.6 - 5.5 mmol/L - Hours After Meal 14.0 h pc - Specimen Drawn 1015 h Creatinine 73 45 - 90 umol/L Estimated GFR 95 59 mL/min/1.73sq.m      EGFR =60 mL/min/1.73 sq.m Kidney function estimate based on assumption of a stable serum creatinine concentration: diet, drugs, pregnancy, clinical state and muscle mass can affect accuracy of the estimate. Urinary ACR may assist interpretation. See www.bcguidelines.ca/pdf/ckd.pdf ALT 25 U/L Thyroid Function TSH 1.61 0.30 - 5.50 mU/L
Wed, 9 Mar 2016
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General & Family Physician 's  Response
Thank you for your query.

Would you please clarify a few things for me?
1) are you a diabetic or hypertensive?
2)are you on any medications ?
3)did you have any recent illness, frothing urine or blood in the urine?
4)any swelling around your eyes, ankles, anywhere in your body?

Your investigation reports are normal, except for the glomerular filtration rate (GFR) which shows a mild to a moderately reduced flow (normal is between 90-120)
This may signify a decline in normal kidney function secondary to a chronic disease that affects kidneys (diabetes or hypertension)
The ACR (albumin creatinine ratio) also helps detect kidney disease and together with the estimated Gfr can help your physician make adjustments in your treatment regimen that will enable better and tighter control of sugars and blood pressure to prevent further kidney damage.
The EGFR is calculated based on the fact that the serum creatinine remains constant. It is a reflected value and not a direct once and hence correlation with other parameters and clinical findings is necessary.
Hope I've answered your query.
Please get back to us should you need further clarification.
Wish you good health
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What Does This Hematology Report Signify?

Thank you for your query. Would you please clarify a few things for me? 1) are you a diabetic or hypertensive? 2)are you on any medications ? 3)did you have any recent illness, frothing urine or blood in the urine? 4)any swelling around your eyes, ankles, anywhere in your body? Your investigation reports are normal, except for the glomerular filtration rate (GFR) which shows a mild to a moderately reduced flow (normal is between 90-120) This may signify a decline in normal kidney function secondary to a chronic disease that affects kidneys (diabetes or hypertension) The ACR (albumin creatinine ratio) also helps detect kidney disease and together with the estimated Gfr can help your physician make adjustments in your treatment regimen that will enable better and tighter control of sugars and blood pressure to prevent further kidney damage. The EGFR is calculated based on the fact that the serum creatinine remains constant. It is a reflected value and not a direct once and hence correlation with other parameters and clinical findings is necessary. Hope I ve answered your query. Please get back to us should you need further clarification. Wish you good health