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Family Medicine (Expert Forum)
OPINION ON RECENT LAB WORK (31Y.O. BLK FEMALE)
Answered by
J.M. Keyes, MD - Family Medicine
Gainesville - FL
Questions in the Family Medicine forum are answered by Dr. J.M. Keyes. Topics covered include general health issues, adolescence, babies, child health, eating disorders, fitness, immunizations and vaccines, infectious diseases, medical tests and procedures, and senior health.
OPINION ON RECENT LAB WORK (31Y.O. BLK FEMALE)
by qtnla, May 01, 2009 08:10PM
I went to see my family doctor and when my first set of labs came , he noticed that I had an iron was low and he also gave me a B12 shot. When I went back after 3 weeks, there was no improvement so he sent me to a hematologist. The hematologist ordered several labs and said that my iron was low. His suggested treatment is intravenous iron therapy for 6 weeks. I was wondering if this would be an effective treatment and I will also list my lab results to see if you agree with his diagnosis.
WBC 6.8 RBC 4.2 *HGB10.4 *HCT 32% *MCH 25 aL MCHC 32.6 % *MCV 76aL PLT 380 RDW 15.1
MPV 7.6 ANC 3.13 EOS 3.0 *LYMPH 45% MONO 6.0 SEGS 46 HYPOCHR 1+ MICROCY 1+
PLT MORPH ADEQUATE GLU 80 BUN 12.0 CREAT 0.9 BNCR 14 NA 140.5 K 4.44 CL 105.2 CO2 24.9
*A/G RATIO 1.0 AGAP 10 OSMO 270.1 GFR 77.65 CA 9.19 DBILI 0.04 TBILI 0.2 *IBILI <0.2
ALB 3.8 ALP 76.0 ALT 16 AST 22 TP 7.7 LDH 170 CPK 128 TIBC 444 *IRON 26 TRANSFERRIN 317 **%SAT 5.5 PT 11.70sec INR 1.10 PTT 26.30sec T3-UP 39.1% T4 7.9 TSH 1.180 FERR 10.0
T7 7.7 4.2-13.0 RBC 4.17 HEMOGLOBIN 10.3 HEMATOCRIT 32.1 MCV 76.9 MCH 24.7 *RDW 16.8
HEMOGLOBIN A 98 HEMOGLOBIN F <1.0 HEMOGLOBIN A2 (QUANT) 2.0 BLOOD LEAD <3
***COPPER SERUM 182 CORTISOL, TOTAL 8.8 PREALBUMIN 17 RETICULOCYTE COUNT 1.6 OCCULT BLOOD NEGATIVE ALDOLASE 4.8
WBC 6.8 RBC 4.2 *HGB10.4 *HCT 32% *MCH 25 aL MCHC 32.6 % *MCV 76aL PLT 380 RDW 15.1
MPV 7.6 ANC 3.13 EOS 3.0 *LYMPH 45% MONO 6.0 SEGS 46 HYPOCHR 1+ MICROCY 1+
PLT MORPH ADEQUATE GLU 80 BUN 12.0 CREAT 0.9 BNCR 14 NA 140.5 K 4.44 CL 105.2 CO2 24.9
*A/G RATIO 1.0 AGAP 10 OSMO 270.1 GFR 77.65 CA 9.19 DBILI 0.04 TBILI 0.2 *IBILI <0.2
ALB 3.8 ALP 76.0 ALT 16 AST 22 TP 7.7 LDH 170 CPK 128 TIBC 444 *IRON 26 TRANSFERRIN 317 **%SAT 5.5 PT 11.70sec INR 1.10 PTT 26.30sec T3-UP 39.1% T4 7.9 TSH 1.180 FERR 10.0
T7 7.7 4.2-13.0 RBC 4.17 HEMOGLOBIN 10.3 HEMATOCRIT 32.1 MCV 76.9 MCH 24.7 *RDW 16.8
HEMOGLOBIN A 98 HEMOGLOBIN F <1.0 HEMOGLOBIN A2 (QUANT) 2.0 BLOOD LEAD <3
***COPPER SERUM 182 CORTISOL, TOTAL 8.8 PREALBUMIN 17 RETICULOCYTE COUNT 1.6 OCCULT BLOOD NEGATIVE ALDOLASE 4.8
Doctor's Answer
by J.M. Keyes, MD, May 02, 2009 08:12AM
, May 02, 2009 08:12AMTo: qtnla
Hi there,
I don't know your full history, and I haven't examined you as your doctors would have, but any time that there is iron deficiency anemia in an adult (especially if you are over 50), I would be concerned about blood loss from somewhere causing it. I would ask your doctors about whether a colonoscopy would a good idea for you, as blood loss from the bowel is one of the more common worrisome causes of such blood loss, depending on your age and the rest of your history and exam. If you are very young, they may not be concerned about this, but I would mention it, and ask if they think colonoscopy would be prudent for you.
Good luck,
JMK MD
I don't know your full history, and I haven't examined you as your doctors would have, but any time that there is iron deficiency anemia in an adult (especially if you are over 50), I would be concerned about blood loss from somewhere causing it. I would ask your doctors about whether a colonoscopy would a good idea for you, as blood loss from the bowel is one of the more common worrisome causes of such blood loss, depending on your age and the rest of your history and exam. If you are very young, they may not be concerned about this, but I would mention it, and ask if they think colonoscopy would be prudent for you.
Good luck,
JMK MD
Member Comments (2)
by qtnla, May 02, 2009 08:38AM
To: Dr Keys
In response to your comment above, I am a 31 year old, black female. I have four children ranging from the ages of 6-13. My reason for seeing the doctor originally was because I had no energy. I was gaining weight even though I regulated my diet. Easy tasks were becoming exhaustive and I was having to force myself to move. I was experiencing swelling in my lower extremities, dizziness, and memory and concentration problems. With all of the lab work that was ordered, would low iron cause these problems? And I will speak with my doctor in regards to the colonoscopy.
