electricmarlin62 said:https://ibb.co/c2W3fCb
Hello... Could you please take a look at these results?
Male, 58 years old. He has dealt with hemorrhoids for many years, though they haven't been an issue lately. Thank you.
To whom it may concern,
You didn't mention why this testing was ordered. What symptoms is the patient experiencing?
In any case, there are abnormalities here that require follow-up, most notably the anemia. However, the data is incomplete. There is no differential blood count provided, yet leukocytosis is present; therefore, a CBC with differential is definitely necessary. Sedimentation and CRP need to be determined, and the biochemistry should be supplemented with LDH—plus, bilirubin and ALP are missing. It would also be prudent to check ferritin and serum protein electrophoresis.
Anemia paired with elevated urea, while creatinine remains within the normal range, can sometimes point toward gastrointestinal bleeding (though, granted, high urea can also stem from dehydration or other issues). As a next step, a fecal occult blood test performed three times is required.
Depending on the symptoms and subsequent findings, the patient will need further workup—laboratory tests, imaging, and specialist consultations. I have only listed tests typically handled at the primary care level before a referral to a specialist.
