Guest guest Posted November 14, 2002 Report Share Posted November 14, 2002 At this point, in closing, I would recommend CDSA, evaluating for s/l " upper growths " in the bowel, also hormone study, and organics testing as described previously. We will possibly even obtain a s/l uriendokin test for oxidation if necessary. TIA, Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 31, 2002 Report Share Posted December 31, 2002 I'll give it a shot. From googling and my own lab book, it appears that the test is for whether HLA-B27 is present or absent. Does he say anything like that? Also, I believe he is probably saying H & H since there are two figures. And it could be RDW. Check this link - http://www.medicine.uiowa.edu/path_handbook/upcmd/01051/controversy.html Hope this helps a little! Pattie dchartrand7@... wrote: > Labs are definitely not my strong point. Any help is appreciated. > > Patient is in for MRI & lab follow-up for suspected metastasis. Findings are as follows: S/l HLBA, 27 He later says this again as " HLBA is 27. " I am finding HLA-B27 in my lab reference so this doesn't make sense to me. He does on to say, Rheumatoid factor and ANA are not available, however the s/l HNH (but could also be saying H and H) is lower than I would expect at 12.3 and 35. s/l RDW is elevated at 15.9 and sed rate is also elevated at 23. > > Am I even in the ball park, here? > > Dawn C. §(ºoº)§ > M-TEC Student > IC, Ortho - 1+ years, IM > AIM: fasthands47 > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 31, 2002 Report Share Posted December 31, 2002 I have RDW as red-cell distribution width. Again, please check to see if this fits with the reference range and the condition. ) Joy ----Original Message Follows---- Reply-To: To: <nmtc > Subject: Lab Help, please Date: Tue, 31 Dec 2002 13:05:39 -0600 Labs are definitely not my strong point. Any help is appreciated. Patient is in for MRI & lab follow-up for suspected metastasis. Findings are as follows: S/l HLBA, 27 He later says this again as " HLBA is 27. " I am finding HLA-B27 in my lab reference so this doesn't make sense to me. He does on to say, Rheumatoid factor and ANA are not available, however the s/l HNH (but could also be saying H and H) is lower than I would expect at 12.3 and 35. s/l RDW is elevated at 15.9 and sed rate is also elevated at 23. Am I even in the ball park, here? Dawn C. §(ºoº)§ M-TEC Student IC, Ortho - 1+ years, IM AIM: fasthands47 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 31, 2002 Report Share Posted December 31, 2002 Pattie, He is definitely saying HLAB is 27. We don't get a lot of patients with cancer as the cause of their back pain (fortunately), and this is an NP so I'm guessing he is just not familiar (any more than I am LOL) with the labs. This one is getting a flag. :-) Thx for your help. Dawn C. Re: Lab Help, please I'll give it a shot. From googling and my own lab book, it appears that the test is for whether HLA-B27 is present or absent. Does he say anything like that? Also, I believe he is probably saying H & H since there are two figures. And it could be RDW. Check this link - http://www.medicine.uiowa.edu/path_handbook/upcmd/01051/controversy.html Hope this helps a little! Pattie dchartrand7@... wrote: > Labs are definitely not my strong point. Any help is appreciated. > > Patient is in for MRI & lab follow-up for suspected metastasis. Findings are as follows: S/l HLBA, 27 He later says this again as " HLBA is 27. " I am finding HLA-B27 in my lab reference so this doesn't make sense to me. He does on to say, Rheumatoid factor and ANA are not available, however the s/l HNH (but could also be saying H and H) is lower than I would expect at 12.3 and 35. s/l RDW is elevated at 15.9 and sed rate is also elevated at 23. > > Am I even in the ball park, here? > > Dawn C. §(ºoº)§ > M-TEC Student > IC, Ortho - 1+ years, IM > AIM: fasthands47 > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 31, 2002 Report Share Posted December 31, 2002 Joy, You might be on to something here. Elsewhere in the dictation he says MRI indicative or abnormal bone marrow findings. Grossly nonspecific differentials include homogeneous red marrow, hyperplasia, infection, infarct, or bone marrow replacing lesions such as metastasis. So HLBI might work, too. I definitely hear the A though so it's going in flagged. Better to be safe... Thx for your insight, Dawn C. Lab Help, please Date: Tue, 31 Dec 2002 13:05:39 -0600 Labs are definitely not my strong point. Any help is appreciated. Patient is in for MRI & lab follow-up for suspected metastasis. Findings are as follows: S/l HLBA, 27 He later says this again as " HLBA is 27. " I am finding HLA-B27 in my lab reference so this doesn't make sense to me. He does on to say, Rheumatoid factor and ANA are not available, however the s/l HNH (but could also be saying H and H) is lower than I would expect at 12.3 and 35. s/l RDW is elevated at 15.9 and sed rate is also elevated at 23. Am I even in the ball park, here? Dawn C. §(ºoº)§ M-TEC Student IC, Ortho - 1+ years, IM AIM: fasthands47 _________________________________________________________________ The new MSN 8: smart spam protection and 3 months FREE*. http://join.msn.com/?page=features/junkmail & xAPID=42 & PS=47575 & PI=7324 & DI=7474 & SU\ = http://www.hotmail.msn.com/cgi-bin/getmsg & HL=1216hotmailtaglines_smartspamprotec\ tion_3mf TO UNSUBSCRIBE send a blank email to NMTC-unsubscribe Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.