Lab results - looking for opinions [PLEASE READ 1ST POST]

Hey there, I could really use some help translating a diagnosis from my discharge papers—I have a general idea of what's going on, but I'd love an exact translation straight from the medical report... so, the diagnosis is: subileus. NLP abdominis. Ascites-carcinosis perinotei. And I'm assuming the treatment was: Laparotomia explorativa.biopsio omenty mayoris. Thank you !!!! in advance for the help...

So, how do you actually do a 24-hour urine test? Like, what’s the deal with the 24-hour urine collection?

My bilirubin levels are looking a bit off; I wonder what might be causing such a disruption?

Sophia Adams63 said:Hi, I could use some help translating a diagnosis from a discharge summary. I have a general idea of what it means, but I’m looking for an exact translation of the clinical terms used in the report. The diagnosis reads: subileus. NLP abdominis. Ascites-carcinosis perinotei. I assume the treatment plan was: Laparotomy exploratory. biopsy of the greater omentum. Thank you in advance for the help...

Dear Nicholas Doyle91,

I will attempt to address your inquiry.

Subileus refers to an obstruction in the intestinal passage caused by various underlying conditions.

I am not entirely sure what "NLP abdominis" is intended to mean. However, if we are looking at NPL abdominis, that would refer to a neoplasm—essentially a tumor or abnormal growth—located in the abdomen.

Ascites refers to the accumulation of fluid within the abdominal cavity.

Peritoneal carcinomatosis refers to the spread of malignant cells throughout the peritoneum. It typically occurs when cancer from abdominal organs—such as the intestines, ovaries, stomach, liver, or pancreas—migrates across the lining of the abdominal cavity.

Exploratory laparotomy: an operative procedure where an incision is made through the abdominal wall to open the cavity, specifically to determine exactly what's going on inside.

Omental biopsy refers to taking a tissue sample from the greater omentum for microscopic analysis. Think of the greater omentum as an apron-like structure that hangs from the stomach, draping over the front of the intestines; it contains varying amounts of fatty tissue.

I hope your doctors gave you a clear explanation of what's actually going on.

Based strictly on this data, drawing any firm conclusions is difficult. What can be inferred is that a patient presenting with an abdominal tumor and bowel obstruction—likely confirmed via X-ray and other diagnostic imaging—underwent surgery. During the procedure, free fluid was detected within the abdominal cavity, along with peritoneal changes suggesting the process has spread from the primary organ throughout the abdomen. Tissue samples were also collected during the operation for microscopic analysis.

Greetings. 👍

Sophia Adams63 said:How do you perform a 24-hour urine collection?

Dear George Clark19,

Get some clean bottles ready. Wash them thoroughly with water—plastic ones work best.

Handle your first morning bathroom trip just like any other. Use the restroom as you normally would.

From that moment on, collect all urine in a container throughout the entire day and night, including the very first morning sample after you wake up on the second day.

To ensure the analysis is accurate, you need to calibrate the collection process so that you start and finish at the exact same time.

For instance, on day one, make sure to empty your bladder. Exactly. 7:00 AM, in the restroom. After that, collect all urine in a container until the following morning when you need to provide the sample. Exactly. At 7:00 AM, empty your bladder completely and collect the urine in a specimen bottle.

Once that’s done, drop the sample off at the lab sometime that morning—just make sure you get there before they stop accepting collections for the day. In the meantime, keep the specimen in the fridge.

One detail is crucial: on the first day, you use the restroom for your first morning urine, but on the second day, you collect that first morning sample in a container.

Best regards. 🙂

Thank you

Maria Fisher46 said:Hey there, Nicholas Doyle91,

I'll try to break this down for you.

Subileus basically means there's some kind of blockage or trouble moving things through the intestines, which can happen for all sorts of reasons.

I'm not quite sure what "NLP abdominis" is supposed to mean—maybe a typo?—but if they meant NPL abdominis, we're talking about a neoplasm, which is just a fancy word for a tumor or growth in the abdomen.

Ascites is when fluid builds up in the abdominal cavity.

Carcinosis peritonei refers to cancer cells spreading across the peritoneum (the lining of the abdomen). This usually happens when a tumor from an organ like the intestines, ovaries, stomach, liver, or pancreas spreads out.

An exploratory laparotomy is a surgical procedure where doctors make an incision in the abdominal wall to get a clear look at what's actually going on inside.

A biopsy of the greater omentum means taking a small tissue sample from the greater omentum for lab testing. Think of the omentum as a fatty apron-like layer that hangs down from the stomach and covers the front of the intestines.

I really hope your doctors have sat down and walked you through all of this.

Just looking at these terms alone, it’s tough to give a definitive answer. But what it sounds like is that the patient has a tumor in the abdomen causing a blockage (which they probably confirmed with X-rays or other scans), and during surgery, they found fluid in the abdomen along with changes in the lining that suggest the cancer has spread from its original spot. They also took tissue samples to be analyzed under a microscope.

Best regards. 👍

Thank you so much for such a clear explanation. Honestly, we didn't get any of this clarity at the hospital. It’s my mom we’re talking about, and for three days after her surgery, nobody would tell us exactly what was done. Then on the fourth day, when she finally asked, they just gave her this blunt answer that they had removed a large tumorous abscess. Yesterday, six days post-op, she was sent home for recovery while we wait for the results. I just wanted to understand where we stand and hold onto some hope, but right now, it feels like there isn't much to hope for.

Thanks again, and take care.

Hey, can I get a little help here?🙂My results show😁Segmented neutrophils at 73.71H (reference interval is 50-70)—so, if I'm understanding this right, my white blood cell count is a bit high—and MCHC is 347H (50-70), but I'm not really sure what that one means exactly?

About three weeks ago, I had a sore throat and treated it with Clavulin, but even after that, my throat still feels a little tender—just when I swallow, though. I actually saw my doctor a couple of days ago, and she told me there wasn't any need for more antibiotics, even though my throat was feeling a bit inflamed.

But now, my throat is still bothering me and I've started coughing a little, though I don't have a fever. Just to mention, I originally had my blood drawn for liver function tests, so they just did a full CBC while they were at it. I'm honestly not sure what to do about this sore throat—should I probably head back to the doctor for another look??

Yeah, and my fibrinogen is actually high too—so I can't take birth control pills right now. I wonder if maybe it's elevated because of that sore throat I had recently? Thank you!🙂

So, this kid 14 years old had an eye pressure check—non-contact method:
11/01/2010 11/14/2010
OD IOP 26 mmHg OS IOP 25 mmHg
OD IOP 25 mmHg OS IOP 24 mmHg

Referred for more testing: pachymetry, IOP, visual field, and full glaucoma workup.
Scheduled for 12/27/2010 (Indianapolis, IBM)

12/27/2010.
Results:

VA OD -4.0 Dsph = 1.0
VA OS -4.0 Dsph = 1.0

VF OU: Isopter I1 includes blind spot

IOP (contact) 22 mmHg
IOP (contact) OS 20 mmHg

Plan: OU: Sol. Cosopt 2x
Follow-up in 1 week for fundus exam and gonioscopy.

Diagnosis: Suspected simple glaucoma OU 😲 😲

Then this nurse walks out and tells us he definitely doesn't have glaucoma, basically saying the doctor who examined him has only been working there for a month and she's certain he's fine.
She told us to come back on Friday when the head doctor—the one with all the actual experience—is in.
So we went back, and here’s the findings:

12/31/10.

Cosopt wasn't used.

IOP (contact) 20 mmHg
IOP (contact) OS 19 mmHg
VF OU: Normal results
Gonioscopy OU: Wide open angle, IV opening
Fundus OU: Physiologically large excavations due to myopia, but nothing suspicious for glaucoma damage.
Plan: Nothing

Get an optic nerve OCT in 3 months, follow up with the results.
Scheduled for 03/16/2011 at 11:00 AM - OCT
03/16/2011 at 11:30 AM - IBM

If there's an ophthalmologist on this forum, could you please make sense of these results?
The boy is 14 years old.
Thank you🙂

Olivia Edwards23 said:Can someone help me out?🙂My lab results show😁Neutrophils at 73.71% (reference range is 50-70), so I assume my white blood cell count is a bit high, and MCHC is 347H (50-70)—I have no idea what that means.

Three weeks ago, I had a sore throat which I treated with Clavulin. Even after that, my throat still feels a bit sore, specifically when swallowing. I saw my doctor a few days ago, and she said there was no need for antibiotics regardless of the slight inflammation in my throat.

Now, my throat is still bothering me and I've started coughing, though I don't have a fever. Just to clarify, I had my blood drawn for liver function tests, so they did a full blood count at the same time. I'm not sure what to do about this throat pain—should I go back to the doctor for another look??

Olivia Edwards23 said:Also, my fibrinogen is elevated, which is why I can't take birth control pills. Could the elevation be due to the lingering throat inflammation? Thank you.🙂

Dear Jerry Vaughn8,

Regarding the white blood cell count and the differential, it’s important to know the total white blood cell count along with the breakdown of specific types. You only provided the percentage of neutrophils, which is only marginally elevated. It's difficult to draw any real conclusions from that alone. If your total white blood cell count is within the normal range, then this result is essentially normal.

MCHC represents the average concentration of hemoglobin in the red blood cells. It should be interpreted alongside your red blood cell count, hemoglobin levels, and other indices like MCV and MCH. MCHC is typically measured in g/L, with a standard reference range of 320-345 g/L. This would mean a value of 347 g/L is practically normal. There seems to be a typo in your report (likely that "50-70" range listed next to the MCHC value).

As for the fibrinogen, it is well known as an inflammatory protein. An elevated level can indicate some sort of inflammatory process in the body, but it's worth noting there are many other possible reasons for such a spike.

Finally, regarding the sore throat, it's hard to give definitive advice from a distance. The symptoms you described—coughing and a normal temperature—don't necessarily point toward strep throat, which would require antibiotics. Whether you should see a doctor is best left for you to decide. However, since these issues have persisted for quite a while (if I understand correctly, it's been over three weeks), a follow-up with your primary care physician seems like the smartest move.

Best regards. 🙂

Olivia Edwards23 said:GLAUCOMA? - Help me interpret these results

Sent you a PM.

Pathological analysis of a colon polyp:

Based on two biopsy samples (0.2 cm diameter)...

"Histologically, there are sections of a polypoid formation composed of mildly dilated crypts lined by regular mucinous cylindrical epithelium. The surrounding stroma shows an abundant inflammatory infiltrate of lymphocytes and plasma cells, eosinophils, and neutrophils."

Thank you,

Best regards

I noticed a few numbers on my lab results that seem a bit off:
Fibrinogen activity: 4.4
Unspecified neutrophils 5.0
Platelet count 6.4
Hemoglobin 350
MCV 80.0

Is it actually possible for my fibrinogen to be elevated just because I've caught a Cold and have been coughing quite a bit lately? It's not like I'm pregnant or anything, right? 🙂
And regarding the rest of these values, am I dealing with anemia here, or are my cells just somehow lower in quality? Is this something that can even be fixed? 😕

Hey there,
Here are the results:
The bone scans show increased radiopharmaceutical uptake in the skull, hips, joints, arm bones, and pelvis...
What does all this actually mean?

Best,

Sarah Bennett12 said:Pathological analysis of a colon polyp:

Based on two biopsy samples (0.2 cm diameter)...

"Histologically, there are portions of a polypoid formation composed of mildly dilated crypts lined by regular mucinous cylindrical epithelium. The surrounding stroma contains abundant inflammatory infiltrate consisting of lymphocytes, plasma cells, eosinophils, and neutrophils."

Thank you,

Best regards

Dear Ronald Green31,

From the portion of the findings you quoted, it appears that neither suspicious (dysplastic) nor malignant cells were found in the samples. This is an excellent indicator and arguably the most important part of the whole colon polyp situation.

However, determining exactly what kind of polyp this is—which is crucial for deciding if follow-up monitoring is necessary—cannot be done based solely on that single sentence from the report.

Best regards. 🙂

Sarah Bennett12 said:A few numbers in my results are off:
Fibrinogen activity: 4.4
Unsegmented neutrophils: 5.0
Platelet count: 6.4
Hemoglobin: 350
MCV: 80.0

Is it possible my fibrinogen is high because I have a Cold and have been coughing quite a bit lately? I assume I'm not pregnant. 🙂
As for the rest, am I anemic or is the quality of my cells just low? Can this be fixed? 😕

Dear Bryan Davis3,

It isn't possible to answer your questions based on these few parameters alone.

As I mentioned in a previous comment regarding another report, an elevated fibrinogen level doesn't tell us much on its own. It can indicate an inflammatory process, but it doesn't have to; fibrinogen levels rise during pregnancy, among many other conditions, so we can't conclude anything about your status from that number alone. I don't think it's likely that a simple Cold would cause such a spike.

Whether or not this is anemia can only be determined after looking at hemoglobin concentrations and red blood cell counts. If those are normal, then it isn't anemia. Your Hemoglobin and MCV results, as well as your Platelet count, are practically normal.

The number of unsegmented neutrophils is slightly higher, but only in percentage terms; without knowing the total white blood cell count, it's impossible to say if the absolute count is also high.

Overall, one could say some parameters deviate only slightly from standard ranges, but nothing concrete can be concluded without a full clinical review.

Therefore, you should consult with your primary care physician.

Best regards. 🙂

Maria Fisher46 said:Dear Bryan Davis3,

...

Thank you so much! 🙂

Here is the rest of it (everything is within range):
White blood cell count: 6.4
Red blood cell count 4.47
Hemoglobin 125

Is there still nothing we can conclude from this? What kind of specialist should I actually go see then? 😕

Elevated levels may be seen with
* Common medical conditions
* Common medical conditions
* Common medical conditions
* Common medical conditions
* Common medical conditions (like rheumatoid arthritis and glomerulonephritis)
* Trauma

I have a Cold, and I’ve been coughing my lungs out for the past few days. Honestly, I am crossing my fingers that it’s just from the cough, because those other possibilities on the list don't exactly inspire confidence. 😢

Dear Bryan Davis,

Generally speaking, I would consider this complete blood count to be within the normal range. There are no indicators of anemia here.

Regarding the slightly elevated fibrinogen levels, before jumping into any deep diagnostic workups to find a cause, you should definitely repeat the fibrinogen test along with a full CBC, a CRP test, and perhaps other parameters as suggested by your doctor.

Fibrinogen might just be temporarily high; it’s important to monitor the trend—whether it's climbing or dropping. Elevated fibrinogen can be seen in smokers, individuals with higher body weight, or even in some perfectly healthy people.

It is also possible this relates to some form of inflammation or an infection (if that 5.0 figure refers to percentages, then the unsegmented granulocytes are only very slightly elevated at 5%).

Unfortunately, without a physical exam, it isn't possible to determine the exact cause.

Best regards.🙂

Thank you! 🙂 At the end of the day, I think I’ll just ignore the fibrinogen levels until my next round of bloodwork comes in... Just to confirm, yes, we are talking about the percentages regarding the unsegmented neutrophils. Thanks again for everything, and all the best. 🙂

_to-sam-ja_ said:About a week ago, some red spots popped up on my penis—specifically on the head and just underneath on the inside of the foreskin. Sometimes they're super red, other times you can barely see anything at all (like right now). Lately, it’s been mostly concentrated right under the head, near that frenulum thing (or whatever it's called). Honestly, nothing itches or stings or anything.

Anyone know what this could be? Thinking maybe a fungus or something?

I just don't get where it came from... 🤷 I had some encounters less than a month ago, but there wasn't any actual sex (not even oral), just touching and mutual masturbation. Before that, I can't remember when, maybe back in the summer...

Anyway, I want to go to a doctor to get this sorted. I need a dermatologist/specialist, right? How does the process work here in the States? Do I first have to see a primary care doctor to get a referral and then schedule an appointment with the specialist, or what's the deal?

Thank you so much for any help!😉

yeah

Here are my results! I don't know all that much about the cholesterol stuff... but if you guys could help me out regarding the CRP, Sedimentation rate, and pH - acid

By the way, I have fatty liver, but compared to my values from just a year ago, they've dropped by half now, which is super awesome!!

Just a quick copy/paste from the lab

Sp. gravity: 1025
pH: acid.
Protein: neg.
Sugar: neg.
UBG: norm
Sediment: negative

Test Type Value Normal range

WBC 6.1 G/l 4.00 - 9.00
Neutrophyl 67.9 % 50.00 - 70.00
Lymphocyta 22.3 % 20.00 - 70.00
Monocyta 0.31 G/l 0.10 - 0.70
Eosinophyl 2.4 % 0.00 - 5.00
Basophyl 0.5 % 0.00 - 1.00
RBC 5.1 T/l 4.50 - 5.90
Haemoglobin 161 g/l 140.00 - 180.00
HTC 0.44 L/L 0.42 - 0.52
MCV 87.8 fl 80.00 - 100.00
MCH 31.5 pg/ml 26.00 - 34.00
MCHC 359 g/l 270.00 - 360.00
PLT 213 G/l 130.00 - 400.00
ESR 18 mm/h 3.00 - 8.00
CRP 12.7 mg/l + 0.00 - 10.00
Se creatinine 106 µmol/l 50.00 - 115.00
Se glucose 5.6 mmol/l 3.80 - 6.00
Se GPT (ALAT) 54 U/l + 4.00 - 38.00
Se ALP 171 U/l 100.00 - 300.00
Se Gamma-GT 65 U/l + 5.00 - 50.00
Se cholesterol 7 mmol/l +2.80 - 5.60
HDL-cholesterol 1.3 mmol/l 0.95 - 2.00
LDL-Cholesterol 5 mmol/l +0.10 - 4.50
Se trigliceride 2.3 mmol/l 0.54 - 2.30

Thank you so much!!!!

M

My little girl (6 years old) had a fever hitting 100.4 for a few days with a super stuffed nose (the temp popped up one day, disappeared for two, then came right back). Her doctor checked her without even doing blood work and guessed it was just strep since her throat looked bright red. She prescribed Clavulin. But even after five days on it, her temp keeps bouncing around—hitting 99.5, jumping to 100.7, then dropping... yesterday, on the fifth day, I finally took her in for blood work and the results are terrible

Leukocytes 2.7 (5-18)
Gran% 22.1 (30-72)
Lym% 71.7 (16-55)
Erythrocytes 4.94 (4-5)
Hemoglobin 144 (109-138)
Hct 0.41 (0.32-0.40)
MCV 83.6 (73.8-99.4)
MCH 29.1 (24.3-29.2)
MCHC 349 (300-350)
RDW 13.5 (11.9-16.2)
Platelet count 146 (150-450)
Platelet count 8.3 (6.9-11.3)

Now that same pediatrician is claiming the labs show it’s actually a nasty virus and not a bacterial infection, saying the Clavulin basically tanked her white cell count. She told me to stop giving her the Clavulin and said everything should go back to normal in a few days
She didn't even tell us to come back for follow-up blood work😕
Can Clavulin (mixed with a virus and those fever reducers) really crash the white cell count that hard??Can anyone else make sense of these labs?
And how many days should I wait before we get her blood rechecked? I was thinking maybe in 3 or 4 days. Is that too soon?
She hasn't had a fever since yesterday, just a super stuffy nose