Posts by Austin Jackson55

vividsailor7 said:In addition to what has already been suggested, I would recommend a full immuno-rheumatological workup—specifically RF, Walker-Pink, ANA, ANCA, and thyroid antibodies such as anti-TPO. It would also be wise to have a thyroid hormone check performed annually.

I appreciate the response.

vividsailor7 said:It doesn't require emergency processing, but it certainly should be done.

In addition to seeing a nephrologist, an ultrasound of the thyroid and parotid glands is necessary. Depending on those results, a possible endocrinology consult might follow. We also need to repeat the current labs and check 24-hour urine calcium and phosphorus levels, along with that high calcium reading.

Thyroid ultrasound findings: mild diffuse changes in a borderline enlarged thyroid, with a hypoechoic nodule measuring 9x7 mm in the lower pole of the right lobe (possible parathyroid nodule?).
TSH and T4 hormone levels are normal and within standard reference ranges.
We are waiting on a fine-needle aspiration biopsy and repeated calcium and phosphorus tests.
The excessive daytime sweating, fatigue, and tremors persist.
Joint pain and occasional discomfort on the right side of my neck fluctuate from day to day.

vividsailor7 said:You're very welcome.

MPV 6.23 ( 6.8 - 10.4 )
Total Calcium 2.60 ( 2.14 - 2.53 )
Total bilirubin 22.9 ( 3 - 20 )
Alkaline Phosphatase 43 (60 - 142 )
Creatinine clearance 89.1 (90 - 138 )

24-hour urine volume is 3600 dU(ml)

Parathyroid hormone results:
PTH INTACT 7.3 ( 1.0 - 6.0 )

Since I moved quite far away for work about ten days ago, I haven't had the chance to just drop in and see my doctor. Honestly, finding the time to get these tests done is becoming a bit of a struggle given my current workload and schedule. Do these specific results require any immediate attention?

Thanks, and wishing everyone great health in the New Year!

vividsailor7 said:1. From my perspective here (without being able to perform a physical exam), I don't think there's any need for an urgent follow-up. Just schedule an appointment with the nephrologist once you have all your results ready, just as they recommended and as I previously noted.
2. Anti-hypertensive therapy is indicated for you.
3. If you have the time, you can transcribe the lab results.

Of course, without an in-person examination, we cannot discuss specific medical details definitively. That said, you have been incredibly helpful, and I feel perfectly comfortable proceeding with all the necessary testing. Besides, we've helped lighten the doctor's workload by avoiding unnecessary visits. 🙂 When I get a moment, I will transcribe the findings. Thanks again, and best regards!

vividsailor7 said:1. The results aren't actually all that bad.
2. It looks like borderline hypercalcemia and clear polyuria.
3. Did they run panels for AST, ALT, GGT, glucose, P, K, Na, Ca +++, creatinine, urea, urate, KKS, CRP? Also, were there any other tests done, like a 24-hour urine collection?
4. What are the blood pressure readings like? Is the urination more pronounced at night or during the day, or about the same?
I assume you're waiting on an abdominal ultrasound? It’s good that you had the PTH checked.
Given that you mentioned elevated BP and polyuria, your first step should be seeing a nephrologist, and perhaps an endocrinologist if necessary.
5. Any family history?
To give you a more detailed assessment, I'll need more information.

First off, thanks for the response.
I'm not expert enough to confirm if every single test mentioned was completed, given how long the referral list was. As a layman, 🙂 I don't want to provide incorrect data by mistake. For the most part, the only items that deviate from the norm are the ones I previously noted.
The 24-hour urine results include: total protein 0.108 (0.028 - 0.141)
(s) creatinine 92 (79-125)
(dU) creatinine 11.8 (9-18)
creatinine clearance 89.1 (90-138)
Blood pressure generally fluctuates between 140/85 and 160/95-100; recently it even hit 180/100—it really varies from day to day. Urination is more frequent during the day.
Waiting on an abdominal ultrasound, urine culture + urethral swab for mucous, cytological analysis of nat. and vit. colored, and urine cytology 3X.
It's been recommended that I visit a nephrologist once all the results are in.
There isn't a specific history of kidney disease, malignancy, or chronic illness in my family. The only condition that has surfaced is oral lichen ruber, which my mother developed 7 years ago. That's the first instance of anything serious in our family.
Apologies for the incomplete data. My main concern is knowing whether I should seek medical attention sooner based on these blood results, or if I can just wait until all the tests are finished. Since nothing seems critical, I'm assuming I don't need to see a doctor before everything is finalized. Thanks.

Greetings, I am a 33-year-old male.
I contacted my doctor regarding intermittent dull pains located in the groin area, kidneys, joints, and bones (specifically the shins, femur, and forearm), as well as occasional pelvic discomfort.
The pain is dull and builds up before stopping abruptly, sometimes radiating from the groin into the thighs.
There has been noticeable weight loss over the past year, along with weakness and increasingly severe tremors in my hands. My blood pressure is elevated. I experience increased sweating daily, and periodically at night, which can be quite heavy.
My thyroid hormone levels were within the normal range.
PSA was normal; prostate volume is 26 cc.
Since I am waiting quite a while for several other tests (ultrasound and urological exams), I would appreciate it if someone could tell me whether these fluctuations in my values warrant an urgent doctor's visit, or if they fall within acceptable limits and don't require immediate concern. I should note that I am still awaiting my PTH results.
My most recent blood work (listing only the abnormal items):

MPV 6.23 (6.8 - 10.4)
Total calcium 2.60 (2.14 - 2.53)
Total bilirubin 22.9 (3 - 20)
Alkaline phosphatase 43 (60 - 142)
Creatinine clearance 89.1 (90 - 138)

24-hour urine volume is 3600 mL.

Thank you!