Emily Ortiz27 said:Hey there.
Got a question about my four-year-old:
The kid had a fever (staying under 100.4), so we went in for blood work because of a swollen lymph node—about 1.5 inches at the angle of the jaw—plus one tender node in the armpit and two near the tongue.
Stomach looks fine, tonsils are enlarged but no white patches, just some throat irritation.
CRP 7.0
E 4.41
Hbg 113
Hct 0.334
MCV 75.8
MCH 25.6
MCHC 338
RDW 15.3
Platelets 294
MPV 8.3
Leukocyte 12.7
NEUaps 6.97
LIMFOaps 3.83
MONOaps 1.37
EOaps 0.48
BAZOaps 0.01
NEUTRO% 55.1
LIMFO% 30.3
MONO% 10.8
EO% 3.8
BAZO% 0.1
That neck node was actually pretty huge about two months ago too, right after the little one finished a 10-day course of Augmentin. It shrank a bit then, but we didn't think much of it since the pediatrician gave us the all-clear at our follow-up.
Now we're back on the exact same antibiotic regimen. We've started the meds, and the plan is to check back in once the course is done so the doctor can decide if we need more intensive testing.
Is there any actual reason to stress out here? Why prescribe antibiotics with these specific lab numbers, and are these tiny deviations from the normal range really cause for alarm?
So, we did the follow-up after finishing the treatment, and honestly, that node hasn't budged an inch. I can even feel another one lower down on the other side now.
ALT 17
LD 303
CRP 0.2
RBC 4.66
Hemoglobin 114
Hematocrit 0.358
MCV 76.8
MCHC 24.5
MCHC 318
RDW 15.2
Platelets 332
MPV 11.2
Leukocyte 10.1
Neutrophilic granulocytes 3.01
Lymphocytes 5.56 (High, ref 1.40-5.00)Monocytes 0.67
Eosinophilic granulocytes 0.78 (High, ref 0-0.7)
Basophilic granulocytes 0.05
Neutrophilic granulocytes 39.9 (Low, ref 30-72)
Lymphocytes 55.2 (High, ref 15-55)Monocytes 6.7
Eosinophilic granulocytes 7.7 (High, ref 0-6)Basophilic granulocytes 0.5
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Unsegmented neutrophilic granulocytes % 3 (High, ref 0-2) Segmented neutrophilic granulocytes % 31
Lymphocytes % 39
Monocytes % 7
Eosinophilic granulocytes % 11 (High, ref 0-6)
Basophils % 1
Reactive lymphocytes % 8 (High, ref 0)
What am I looking at here?