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Undiagnosed Symptoms (Expert Forum)
CBC Help
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
Questions in the Undiagnosed Symptoms forum are answered by Dr. Kevin Pho. Topics covered include breathing difficulties, feeling cold, cough, diarrhea, dizziness, fainting, fever, indigestion, itching, nausea, numbness, pain (chronic), paralysis, rash, sweating, swelling, urination problems, and vomiting.
CBC Help
by MammasGirl37, Oct 27, 2007 10:29AM
Doctor-
Please help 37yo wen to ER for respiratory symptoms...non acute. Doctor ordered CBC. First results had to be repeated because Nurse said that "my cells burst" and they needed to do a repeat test. That had me very nervous as she said it was no big deal. She said that this maybe a result of the draw from the arm. IS THIS POSSIBLE? Also, she couldn't really give me a breakdown of a portion of my lab results. CAN YOU HELP ME? Under coagulation it read, Protime 09.9, INR-0.96*, APTT-26*, D-Dimer Quantitative-0.18* IS THIS CRITICAL OR EMERGENT? Your time is greatly appreciated.
Please help 37yo wen to ER for respiratory symptoms...non acute. Doctor ordered CBC. First results had to be repeated because Nurse said that "my cells burst" and they needed to do a repeat test. That had me very nervous as she said it was no big deal. She said that this maybe a result of the draw from the arm. IS THIS POSSIBLE? Also, she couldn't really give me a breakdown of a portion of my lab results. CAN YOU HELP ME? Under coagulation it read, Protime 09.9, INR-0.96*, APTT-26*, D-Dimer Quantitative-0.18* IS THIS CRITICAL OR EMERGENT? Your time is greatly appreciated.
Doctor's Answer
by Kevin Pho, MD, Oct 28, 2007 06:46PM
, Oct 28, 2007 06:46PM
A hemolyzed sample is likely what was referred to, and is relatively common. Repeating the test should be done - as it seems to have happened here.
The coagulation studies and D-dimer appear not to be markedly elevated. Depending on the lab's reference range, they may even be at normal levels. If the D-dimer is elevated, a pulmonary embolus should be considered, and further testing with a CT scan be done.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
www.kevinmd.com
The coagulation studies and D-dimer appear not to be markedly elevated. Depending on the lab's reference range, they may even be at normal levels. If the D-dimer is elevated, a pulmonary embolus should be considered, and further testing with a CT scan be done.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
www.kevinmd.com
