Re: Question: blood test results
- From: jason@xxxxxxxxxx (Jason)
- Date: Thu, 04 Aug 2005 09:30:20 -0700
In article <aMOdnVqrJL-ERWzfRVn-sA@xxxxxxx>, "Robert"
<Robertitsme@xxxxxxxxxxx> wrote:
> <Hawki63@xxxxxxxxxxxxx> wrote in message
> news:cu9Ie.1304$fJ1.806@xxxxxxxxxxxxxxxxxxxxxxxxxxxxx
> >
> > "Jason" <jason@xxxxxxxxxx> wrote in message
> > news:jason-0308051234120001@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
> > >
> > > Does anyone know of any good books that explain the meaning
> > > of various blood test results? Thanks in advance
> > >
> > > These are my latest blood test results:
> > > Please note that I am taking a diurectic (water pill)
> > > so that explains why the sodium levels and potass. levels are fairly
> low.
> > > sodium 135
> > > potassium 3.4
> > > chloride 97 low
> > > CO2 34
> > > Anion gap 7 low
> > > glucose 98
> > > BUN 7 low
> > > creatinine 1.5 high
> > > calcium 9.1
> > >
> > > Any evidence of kidney problems in the above readings?
> > > I should note that I had kidney disease when I was a baby.
> > >
> > > Jason
> >
> >
> > Jason
> >
> > can't you ask your doc??
> >
> > as DR C pointed out...your creatinine is a tad high..but depends upon the
> > limits of the lab used...how much muscle you have etc...
>
> There is an inapproprate normal BUN in relation to the creatinine.
> If any reduction occurs in single nephron glomerular filtration rate
> resulting in an increased creatinine must result also result in an increased
> BUN. Both are filtered by the kidneys but the BUN is more permeable to the
> tubules and so with conditions that increased renal tubule transit time such
> as low SNGFR or obstruction it will favor an increase of BUN resorption.
> You should always look at the BUN in relation to the creatinine and serial
> measurements are better than one measurement.
> A ratio as low as 6:1 BUN/creatinine is seen in rhabdomyolysis when large
> amounts of creatinine are released by the muscles. Both are abnormal.
> Renal failure in general has ratios of less than 10. With prerenal causes
> having greater than 20 and very high ratios in GI bleed.
> His ratio is about 5 with only the creatinine elevated.
>
> It is an extreme rare occurance to not see an elevated BUN with an elevated
> creatinine. During the early days of the Jaffe reaction there were more of
> these cases I had to talk to doctors about. Ketosis and antibiotics,
> ascorbic acid would all falsely increase the creatinine with a normal BUN. I
> remember one involving a 3.0 creatinine.
> Most of the todays methodology involves enzymatic assays.
> The most common cause of the rare cases now are post dialysis reductions in
> BUN or drug induced decreased creatinine elimination or interference such as
> 5-FC early on.
>
> A low anion gap argues against ketosis or renal acidosis.
> A normal calcium is not consistent with significant renal failure.
> A normal CO2 is not consistent with acidosis.
>
> The creatinine level corresponds to 52 mls/min. This would be stage 3 (30-59
> mls/min) if it is real.
>
> >
> > creatinine can be a tad higher in muscular men...in fact..acceptable
> levels
> > are higher in men than women..
>
> That's true although the stated upper limit of normal was 1.2.
>
> >
> > what "kind" of kidney disease as a child?? likely will not mean much at
> > your age..
> >
> > potassium is a tad low...normal being 3.5-5.5...again..only your doc can
> > comment upon whether is should be higher
Jason,
Thanks for your interesting post. I was never good at math but I
understood most of what you wrote. Do you think that there is any evidence
of kidney problems related to the blood test results? I have a book
related to kidney disease. It does state that "corrective kidney surgery
in youth" does make it more likely that a person would have kidney
problems when they are adults. Once I get a new doctor, I am going to
request some special blood tests and urine tests. Do you know what sort of
blood tests or urine tests that I should request in order to determine
whether or not I have kidney disease or Addison's Disease? I should note
that I recently had a severe case of hyperkalemia after eating some food
that contained a salt substitute containing huge amounts of potassium. The
only disease that I could find related to hyperkalemia is Addison's
disease. Do you know of any kidney diseases that causes hyperkalemia to
occur when the potassium levels in the blood are higher than normal? I
should note that I recently had a urine test and there was no evidence of
protein or blood in my urine. Everything else that was tested related to
my urine was within normal limits. My "thyroid stim hormone" levels were
tested 5-11-05 and the results were 3.27--within normal limits.
Thanks in advance,
Jason
--
NEWSGROUP SUBSCRIBERS MOTTO
We respect those subscribers that ask for advice or provide advice.
We do NOT respect the subscribers that enjoy criticizing people.
.
- References:
- Question: blood test results
- From: Jason
- Re: Question: blood test results
- From: Hawki63
- Re: Question: blood test results
- From: Robert
- Question: blood test results
- Prev by Date: Re: Question: blood test results
- Next by Date: Re: Question: blood test results
- Previous by thread: Re: Question: blood test results
- Next by thread: Re: Question: blood test results
- Index(es):
Relevant Pages
|
