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Specialty to consult? Prognosis?
Self referred Blood investigation of 45/F shows:
HbA1c (HPLC) : 6.5%
ESR: 105 mm/hr
RBCs: Moderately microcytic hypochromic RBCs, pencil cells seen
WBCs: Mild neutrophilic leukocytosis
Platelets: Reactive thrombocytosis
25-OH Vitamin D (Total): 8.82 ng/mL
High sensitivity C-reactive protein (HS-CRP): 4.3 mg/L
Testosterone: 7.66 ng/dL
Iron: 18.5 µg/dL
% Transferrin saturation: 4.85%
HDL CHOLESTEROL - DIRECT: 31 mg/dL
HDL / LDL RATIO CALCULATED: 0.3
TRIG / HDL RATIO CALCULATED: 6.97 TRIGLYCERIDES PHOTOMETRY: 214 mg/dL LDL CHOLESTEROL - DIRECT: 101 mg/dL VLDL CHOLESTEROL: 42.8 mg/dL
TC/ HDL CHOLESTEROL RATIO: 5.3
SERUM ALB/GLOBULIN RATIO CALCULATED: 0.86
SERUM GLOBULIN CALCULATED: 4.33 gm/dL
SODIUM: 135.3 mmol/L
UREA (CALCULATED): 12.56 mg/dL
BLOOD UREA NITROGEN (BUN): 5.87 mg/dL
Urinogram:
LEUCOCYTE ESTERASE: PRESENT
URINARY LEUCOCYTES (PUS CELLS): 10 cells/HPF
EPITHELIAL CELLS: 13 cells/HPF
BACTERIA: PRESENT
Specialty to consult? What will the treatment plan be like? Prognosis?
Answers (14)
Like the answers? Consult privately with the doctor of your choice
Kindly consult for proper evaluation and treatment.
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Consider lifestyle medicine which can address many of these issues
Next Steps
can consult
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Iron deficienciy anemia
Vit d deficiency
Low HDL
TG/HDL ratio - not good
Many nutritional deficiencies+ metabolic dysfunction
Need thorough evaluation and lifestyle medicine for holistic improvement.
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Can help you with the next course of action and treatment plan. Would like to discuss in details. Kindly consult via whatsapp on nine zero two nine six zero zero four seven zero.
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Kindly consult
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Kindly consult. Doctors need proper history, symptoms etc along with reports to make a proper diagnosis first to treat patients. Kindly consult any good general physician/Internal medicine.
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Connect please
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Dr. Gaurav Jaiswal
General Physician
4 yrs exp
Jhansi
Lifestyle modification needed
Water intake more
Green leafy vegetables and fruits
Do connect and consult
Will help you
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Dr. Aswanaa Kamanuru Govindarajulu
Internal Medicine
6 yrs exp
Chennai
Consult an internal medicine( aka General Medicine ) specialist
For anemia / vit d deficiency/ diabetes and uti
Next Steps
online consult or visit nearby physician
Health Tips
UTI and diabetes needs to be addressed as soon as possible to avoid complications
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Dr. Manoj Kumar
General Physician
7 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Hemesh Sarode
General Physician
6 yrs exp
Mumbai
I understood your concern and noted the problem as well .I need to ask few more details to make a diagnosis and start treatment and advice which suits you. Pl consult me on Practo , so that I can help you better.book a time slot as per your convenience for consultation.
Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history.
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Dr. Vinod Kumar Verma
General Physician
7 yrs exp
Gurgaon
- [x] According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as -
- [ ] Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history.
- [ ] Please follow any medicine or advise after consultation only from a good doctor.
- [ ] Please follow good life style as
- [ ] • take plenty of fluid and
- [ ] • take less spicy and fatty foods and
- [ ] • take home made food only and
- [ ] do exercise regularly with yoga and meditation and
- [ ] please keep positive attitude to fight any disease and any problem of your life.
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Dr. Ravi Kumar Nadella
General Physician
15 yrs exp
Hyderabad
Immediately consultation needed
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Dr. Anuj Mothsra
General Physician
5 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.