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So, back in Seattle, right near the theater, there’s this absolutely killer boutique that does the most insane lingerie, and honestly, their whole vibe with mixing and matching sets and different ranges is just genius...
I can't for the life of me remember the name right now, but trust me, it's not exactly hard to track down once you know what to look for...
quietbison7 said:Look, I’m obviously no pediatrician, but looking at these lab results, the diagnostic algorithm is definitely heading in a few different directions here.
The big thing right now is pinning down the actual cause of the anemia. Based on what's been done, they haven't cracked it yet because they're moving toward hemoglobin electrophoresis to see if there's some kind of genetic defect in the hemoglobin structure. You can also see hints that they're investigating absorption issues or potential malabsorption. An acute infection is out of the question. Iron metabolism is clearly messed up, and they're trying to figure out if the root cause is localized in the gastrointestinal tract or if it's something metabolic—you know, genetic. They might even need to go for biopsies. Also, you didn't really lay out all the clinical history, like the consistency of the stool, whether the kid is vomiting, stuff like that... But based on the erythrocyte appearance and the MCV levels, it looks like we're dealing with microcytic anemia. For now, they're still just in that phase of hunting for the right diagnosis... that's all I can say in general terms without jumping to any definitive conclusions just yet.
Seriously, thank you so much.
It's true, they're pulling it from several different angles. We're currently waiting on the anti-GGt results with the gastroenterologist, and once those are in, they'll decide if a small bowel biopsy is necessary.
On the hematology side, during the follow-up, they found that the hemoglobin actually bumped up to 105 after a month of intensive therapy, which happened alongside some pretty significant dietary changes too.
The little guy hasn't been vomiting, and he's having regular bowel movements—nothing hard, nothing loose.
We've already ruled out parasites, which was one of the first things they checked, along with any hidden urinary tract infections or anything similar.
Again, thanks a million.
Guys, seriously, can someone please dig up that post from the last page? I’m not even gonna bother quoting it because it’s freaking massive and I don't want to waste half the thread just trying to paste it. pleeease!
I mean, look, nobody has to write a whole dissertation on every single point, but if you know anything at all, just chime in. Even if it's just one thing or a couple of quick bullets, it would be a huge help, really.
I've got a bit of a long one for you guys...
My little guy is 2 years and 3 months old, and he’s been stuck in the hospital undergoing testing because of this persistent anemia—you know, the kind where iron supplements don't seem to do a damn thing and his numbers just keep dropping?
Anyway, the discharge papers finally arrived in the mail, and it's just a mountain of lab results that I can't make heads or tails of, especially since I can't find any reference ranges that actually apply to his specific age...
So, does anyone here actually know what they're looking at? Like, really know? Please, help me make sense of this:
SE 6
E 4.94- 4.66
Hb 100-97
Htc 0.314-0.303
MCV 63.6-65
RDW 18-18.3%
Rtc 6.3-6.7%
L 10.8-8.0
seg 16-23
ly 67-51
mono 8-10
eo 7-8
virociti 2-6
ABN 1728
trc 513
Morphology: RBC micro++. anizo. poikilo. poly+. hypo++
Blood smear: anisocytosis, microcytic, some ovalocytes and fragmented erythrocytes. Platelets in smear ++, eosinophils 10, segmented neutrophils 14, lymphocytes 62, atypical ly 1, smudge cells 4, monocytes 9
Coombs test direct and indirect: negative
Fe 4
UIBC 78
TIBC 84
ferritin 4
BUN 5.7
urea 4.6
creatinine 43
Na 137
K 4.2
Cl 109
Ca 2.57
P 1.93
urine bilirubin 8
direct bilirubin 1
urine protein 70
albumin 41.6
CRP 0.1
urate 163
AST 42
ALT 20
ALP 302
GGT 10
LDH 268
cholesterol 3.7
triglycerides 0.6
TP 70
A/G 1.51
albumin 42.1 g/l
alpha1 2.2
alpha2 7.4
beta 8.1
gamma 10.2
Haptoglobin 0.39 g/l
IgA 0.5
IgG 11.6
IgM 0.6
Iron absorption test: 0h 7, 1h 35, 2h 38, 4h 36
D-xylose absorption test: 15.9
They also ran Anti TG-IgA, IgE, fx5, and hemoglobin electrophoresis
Urine looks fine
Coagulation panel: PT 1.20
aPTT 29
aPTT ratio 0.9
fibrinogen 2.5
platelets 369
antithrombin 95
Abdominal ultrasound, echocardiogram, EKG, chest X-ray... all okay...
X-ray of the left hand shows bone marrow maturity for a child aged 1 year and 3 months (which is off by a full year compared to his actual age)
I honestly can't believe that on top of dealing with a serious illness and all this endless red tape (to say the least), a family also has to deal with people like this. I get it, there are skeptics and cold-hearted people out there, but seriously, could they not just keep their opinions to themselves? Or at least express them somewhere where they won't cause actual pain to the people they're talking about...