The blood work primarily indicates absolute neutrophilia—essentially, an elevated neutrophil count. There are various reasons why this might happen, one being a bacterial infection. However, I wouldn't be making any assumptions without seeing the full clinical picture and other test results.
The report also shows mild anemia accompanied by microcytes (smaller red blood cells). This pattern is often seen in iron-deficiency anemia, which is the most common cause, but that still needs to be confirmed.
It isn't possible to provide a diagnosis based solely on this data, nor can we determine the reason for your child's fever from this alone. To get the full story, this should ideally be supplemented with a CRP test, a urinalysis, and perhaps other diagnostics if necessary.
More importantly, a physical exam is required—checking the ears, throat, listening to the lungs, and so on.
Please make sure to consult with your pediatrician regarding these findings.
Listen, you need to contact an epidemiologist on call immediately. Based on what you've described, there is a real possibility of rabies here. This is an emergency. Please, take this seriously. Don't gamble with something like this. You need to notify an epidemiologist right where you are. Not tomorrow, but RIGHT NOW, THIS VERY SECOND!!!!!!!
Your inquiry leaves a few gaps regarding what actually happened with the cat. Specifically, did the attending veterinarian request a brain tissue test for rabies at the appropriate facility? Did they even raise the possibility of rabies? If they did, they should have directed you to contact the local epidemiological services at your County Health Department or the Washington, D.C. health authorities immediately.
Bottom line: you need to contact the local epidemiological services at the Centers for Disease Control and Prevention or your local County Health Department as soon as possible. You should be able to find a number for an on-call epidemiologist online; call them right away.
Once they gather the facts—details on the circumstances, the cat’s recent behavior, whether it was eating or drinking, if it had been roaming outdoors, any visible injuries, potential contact with other animals, and its vaccination status—they will decide on the next steps. This could involve starting a rabies vaccination series along with human rabies immunoglobulin while waiting for the cat's test results, provided there is suspicion and the epidemiologist deems it necessary.
Standard procedure for any animal bite: wash the wound vigorously with soap and water immediately. Then, head to a medical facility—an urgent care center or ER if the wound is deep and needs stitches—to have it treated, receive a tetanus shot if needed, and potentially get antibiotics. After that, you must report the incident to the epidemiological services at your County Health Department or the Washington, D.C. health authorities.
Treat this with absolute seriousness. Consult an on-call epidemiologist immediately by looking up the contact information for your specific County Health Department or the Washington, D.C. health authorities online. They need to assess whether the animal poses a rabies risk and determine if you require immediate vaccination.
Generally speaking, a low ESR reading often carries no clinical significance, particularly if you’re feeling fine, aren't experiencing any symptoms, and your other lab results are within the normal range.
That said, certain conditions can cause a decrease in sedimentation rates—things like allergies, anemia, polycythemia (an overproduction of red blood cells), specific medications, or even certain viral infections. I’d assume anemia and polycythemia are likely off the table if your red blood cell count, hemoglobin, and hematocrit levels are all normal.
In short, this finding most likely doesn't mean much on its own. However, your doctor will have the final word. You should definitely consult with them, as they have the full picture of your overall health and how this fits in with your other test results.
Your results show moderate lymphocytopenia—essentially, a low lymphocyte count. There are countless reasons why this might happen, so without a physical exam and further diagnostic work, I won't speculate on the specific cause.
While it’s good that you had a CBC done, it isn't a definitive way to confirm pregnancy. While certain blood changes can occur during pregnancy, they aren't unique enough to distinguish pregnancy from other physiological shifts.
The beta-hCG test came back negative, but since you took it quite early, you should repeat the test if your period doesn't arrive as expected. If you do experience bleeding, there's no need to retest.
It would be irresponsible to attempt a diagnosis over an online forum. You should contact your primary care physician to schedule an appointment (be sure to mention the coughing, nausea, and vomiting). They will determine which follow-up tests are necessary—such as basic metabolic panels, urinalysis, CRP, etc.—and any further evaluation required.
Moving forward, it is important to monitor your CBC, specifically the lymphocyte levels, to see if they are trending upward or continuing to drop.
neongardener6, please explain why these tests were ordered, include the patient's age, and note any existing medical conditions, following the instructions in the first post of this thread.
The results primarily indicate lymphocytopenia—a low lymphocyte count. To determine if this is clinically significant, we need to know the patient's age. For instance, the threshold for a toddler under two years old is different (where counts should ideally stay above 3.0 x 10e9/L) compared to an adult (where anything above 1.0 x 10e9/L is generally acceptable).
To figure out the underlying cause, we need context: why were these labs run in the first place? What specific symptoms or illnesses is the person experiencing, and are they currently taking any medications?
A menstrual cycle can skew urine test results. It’s generally advised to postpone sample collection until the period has passed, if your schedule allows. You should probably mention this to the lab technician when you arrive, and definitely tell your doctor once the results come in. Otherwise, they might misinterpret what they're seeing.
Susan Fowler3 said:Can someone help me make sense of these results? My doctor had an emergency come up right when he was supposed to go over them with me. I need some help here. I'm planning to get pregnant and want to know if everything looks alright. Here are the findings:
cervix uterus is small/contracted adnexa free and non-palpable
The results look clean to me.
vaginal colpitis
Essentially, this means a diagnosis of vaginal inflammation or infection has been made. It doesn't specify what the actual cause or pathogen is.
mellowbear10 said:I’ve noticed this happens whenever we get those deep winter freezes. I wake up with swollen eyelids, which usually subside after about thirty minutes without any treatment, but then I'm left with some kind of crust that eventually peels away. There’s also some redness involved...
Nicholas King said:It’s a simple question, really: why exactly? 😕You’re putting in all this effort and wasting your own time—for what purpose? What is the actual benefit to the forum, the PDF, or the specific topic when you merge those kinds of posts?
Then again, if we are talking about substantive, meaningful posts, perhaps the author had a legitimate reason to keep them separate. But if the posts are just nonsense, then merging them isn't going to suddenly create some sort of critical mass of meaningful content.
So, I guess the real question remains: what is the point of doing that?
I have several reasons for doing this. First, when merging multiple threads, you run the risk of posts from other topics getting sandwiched between related ones, which breaks the continuity. It’s also much easier to manage merged posts if we ever need to split them back up later. On the Health forum, we frequently merge threads for various reasons I won't get into right now.
Furthermore, it's simply more efficient for me to work with consolidated posts. Having symptoms, complaints, and signs all contained in one single entry is far better than chasing them through several consecutive posts. It's partly a professional habit; in my day job, I prefer patient records to be centralized in one place whenever possible—it makes the workflow significantly faster and smoother.
It happens sometimes where a user describes a medical issue across several posts, and by the time they're done, some of those posts have already pushed onto the next page. That creates an annoying hurdle when you go to reply; you have to stop, scroll back to the previous page, and jump back and forth unless you end up quoting every single one of those individual posts.
There are other reasons why I merge posts, but I'll leave those out here.
I don't issue warnings or "card" users just for posting consecutively. In fact, I think I've only sent one private message regarding this, and that was only because a user was spamming consecutive posts, demanding to know why nobody was answering them immediately.
So, I hope I'll be allowed to continue moderating this way and keep merging posts as described. However, if the administration or my fellow moderators decide this practice is actually counterproductive or useless, I'll stop merging consecutive posts from the same author within short timeframes.
On the US forums I moderate (Health and its related sub-forums), I frequently merge consecutive posts from the same user.
My criteria for merging posts depend on two things: the length of the content and the timeframe between them. If combining two or more posts results in a single manageable entry and they were posted close together, I merge them regularly. I don't issue warnings or bans just for posting sequentially; however, if I notice someone is constantly flooding the board with one-sentence posts, I’ll send a private message asking them to consolidate.
Beyond simple spamming, what bothers me more—and I see this quite often on the Health boards, especially from newer users with low post counts—is when people blast identical messages across multiple different threads. In those instances, I delete the duplicates and leave only one original post. If the behavior persists, I follow up with a warning via PM.
The symptoms you described point toward peripheral facial nerve palsy. There are various reasons why this type of weakness occurs, though in many instances, the underlying cause remains elusive—which is why it’s often referred to as Bell's palsy.
It is critical to consult a doctor at the first sign of symptoms, just as other members have advised here. Getting a prompt diagnosis is essential to rule out anything serious and to get a treatment plan started immediately.
Recovery is highly individual. Some people see improvement within two weeks, while for others, it can take several months before all symptoms subside.
Please keep us posted on your diagnostic results.
Best regards. 🙂
edit: We have a dedicated thread regarding facial palsy here. Once the author confirms their diagnosis, I will merge this thread with that one.
lonefalcon41 said:What does it mean when my urinalysis shows "mucus present"? Other values are: leukocytes: 1-2; squamous epithelial cells: 1-3; bacteria: few.
Ma'am,
Mucus in urine can be perfectly normal. The urinary tract contains glands that naturally secrete mucopolysaccharides.
That said, mucus can also suggest the sample was contaminated by vaginal secretions during collection.
Was this part of a routine checkup, or have you been experiencing specific symptoms?
It seems you took my response as a commentary on your attached ECG. Unfortunately, I can't get the image of the ECG to enlarge properly; it just stays tiny on my screen. Because of that, I can't offer any insight into that specific ECG finding, which I know you mentioned is your primary concern.
My previous remarks were actually directed at the discharge summary and your description of the physical exam—specifically that the pain increases upon pressure—noting that the ultrasound heart came back normal. 😉
Based on that, it looks to me like the discomfort or chest pain points more toward a musculoskeletal issue rather than anything revealed by the ECG, just as a side note.
That being said, my comment was somewhat incidental. If I understood you correctly, these chest pains started after you were discharged from the hospital, and we haven't seen any of the tests performed since the symptoms began (aside from the ECG, which remains unreadable for me).
It’s hardly surprising that a C-section can't be performed on an island. That kind of surgery demands a full roster—OBGYNs, anesthesiologists, techs, scrub nurses, neonatologists—plus a fully equipped OR.
Realistically, it isn't feasible, nor does it make sense, to meet those exact medical standards in every single corner of America. To me, this isn't news, and it certainly isn't a shock. 🤷
Michelle Harris19 said:.........I'll attach a photo of the discharge summary; it contains all the test results from the hospital. ..............
Ma'am,
If you'll permit, I'd like to weigh in as well.
Regarding the Internal Medicine side of things, a colleague has already noted this, but I will reiterate: your CBC and basic biochemistry look fine.
Aside from the urinalysis, which points to a urinary tract infection—as previously noted—there is also a slight deviation in your lipid profile. Your LDL cholesterol is borderline and your HDL cholesterol is low; lifestyle adjustments should address this.
Based on the discharge papers you provided and your mention of a normal Ultrasound heart, I would suggest those chest pains lean more toward an osteomuscular etiology—essentially, they are musculoskeletal in origin.
In this entire picture, however, I would focus most heavily on the ophthalmological findings because those are where the actual deviations lie.
The workup indicates risk factors for glaucoma, and the visual field test showed abnormalities consistent with it. It is vital that you prioritize this specific issue right now.
Best regards. 🙂
Nancy Mendoza17 said:........... After seeing an infectious disease specialist, I had a peripheral blood smear done. These are the results: Eosinophil 0.03 Segmented neutrophil 0.54 Lymphocyte 0.33 Monocyte 0.10.
No reference ranges were provided. If anyone knows them, please let me know.
Nancy Mendoza17 said:vividsailor7, could you tell me what you think of the peripheral blood cytology results I listed above? Are they within normal limits or is something off?
Ma'am,
Your peripheral blood smear shows normal cell counts. The distribution of individual cells is as follows*:
That possibility DOES exist, which is why the patient was sent for further testing. In this instance, we need to perform immunological diagnostics. If those results come back positive while the chest X-ray remains clear, we are looking at latent tuberculosis. Essentially, the individual has been exposed to the bacteria, but hasn't developed active disease because their immune system is keeping it in check.
Those with a latent infection show no symptoms and may never progress to active illness. It’s estimated that roughly 10% of cases will eventually develop into the active form.