What Does This Blood Report Indicate?

Posted on Wed, 23 Sep 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 23 Sep 2015 Answered on

Mon, 19 Oct 2015 Last reviewed on

Question : Albumin, Serum 4.9 blood test shows A/G Ratio 3.3 Ast (Sgot) 35 0-40 IU/L
Alt (Sgpt) 33 0-32 IU/L
Seeing rheumatologist for arthriitus and as of yet unidentified auto immune disorder On medications what do numbers mean other numbers on test in normal range

Answered by Dr. Indu Kumar (2 hours later)

Brief Answer:
Your findings suggests raised A/G ratio with normal albumin level.

Detailed Answer:
Hello

Your findings suggests raised A/G ratio with normal albumin level.It is important to know globulin level.
A/G ratio may be increased in many conditions like hypothyroid state,low globulin level,excess glucocorticoid in body etc.
This need proper evaluation.You can upload full reports so that I can interpret in a better way.
You may need few more tests like thyroid profile.

SGPT is minimally raised and it is not concerning.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Indu Kumar (42 hours later)

I hope this will load the lab results I have. My mother has an over active thyroid. I have been told by a family doctor that I have a very large number of thyroid antibodies and suggested I go on medication for over active thyroid but the specialist said my tsh numbers were normal so no problem even though I have almost all the symptoms of thyroid problem .

https://patient.labcorp.com/patient/PatientWeb/Forms/PatientPortalCcrViewer.aspx?Id=b266de92-fc88-4179-b542-6372a0000&ReturnTo=overview

Answered by Dr. Indu Kumar (12 hours later)

Brief Answer:
If possible,please send reports through my mail.

Detailed Answer:
Hello

There is some technical problem in opening the file,so I am not able to open it.
If possible please send reports through my mail.If you find any difficulty then you can contact customercare also.

Get well soon.
Waiting for your response.

Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Indu Kumar (9 hours later)

Vitamin B12

Test      Low     Normal     High      Reference Range     Units
Vitamin B12          709           211-946     pg/mL

Tsh

Test     Low     Normal     High     Reference Range     Units
Tsh          1.650          0.450-4.500      uIU/mL

Cbc With Differential/Platelet

Test      Low XXXXXXX l     High Reference Range      Units
Wbc           4.2           3.4-10.8      x10E3/uL
Rbc           4.88           3.77-5.28      x10E6/uL
Hemoglobin      14.0           11.1-15.9      g/dL
Hematocrit           41.9           34.0-46.6      %
Mcv           86           79-97      fL
Mch           28.7           26.6-33.0      pg
Mchc           33.4           31.5-35.7      g/dL
Rdw           13.9           12.3-15.4      %
Platelets           269           150-379      x10E3/uL
Neutrophils          63                %
Lymphs           25                %
Monocytes           8                %
Eos           4                %
Basos           0                %
Neutrophils (Absolute)2.6           1.4-7.0      x10E3/uL
Lymphs (Absolute)     1.0           0.7-3.1      x10E3/uL
Monocytes(Absolute)     0.4           0.1-0.9      x10E3/uL
Eos (Absolute)          0.2           0.0-0.4      x10E3/uL
Baso (Absolute)          0.0           0.0-0.2      x10E3/uL
Immature Granulocytes0                %
Immature Grans (Abs)0.0           0.0-0.1      x10E3/uL

Sedimentation Rate-Westergren

Test      Low     Normal     High     Reference Range     Units
Sedimentation Rate-Westergren           2           0-40      mm/hr

C-Reactive Protein, Quant

Test      Low     Normal     High     Reference Range     Units
C-Reactive Protein, Quant           4.7           0.0-4.9      mg/L

Comp. Metabolic Panel (14)

Test      Low     Normal     High     Reference Range     Units
Glucose, Serum           85          65-99      mg/dL
Bun           11          8-27      mg/dL
Creatinine, Serum           0.78          0.57-1.00      mg/dL
Egfr If Nonafricn Am           80          >59      mL/min/1.73
Egfr If Africn Am           92          >59      mL/min/1.73
Bun/Creatinine Ratio           14          11-26      1
Sodium, Serum           142          134-144      mmol/L
Potassium, Serum           5.0          3.5-5.2      mmol/L
Chloride, Serum           101          97-108      mmol/L
Carbon Dioxide, Total           25          18-29      mmol/L
Calcium, Serum           9.2           8.7-10.3      mg/dL
Protein, Total, Serum           6.4           6.0-8.5      g/dL
Albumin, Serum                4.9 3.6-4.8      g/dL
Globulin, Total           1.5           1.5-4.5      g/dL
A/G Ratio                3.3      .1-2.5      1
Bilirubin, Total       0.5           0.0-1.2      mg/dL
Alkaline Phosphatase, S           71           39-117      IU/L
Ast (Sgot)           35           0-40      IU/L
Alt (Sgpt)                33      0-32      IU/L

Answered by Dr. Indu Kumar (14 hours later)

Brief Answer:
All parameters are within normal limit.

Detailed Answer:
Hello
Sorry for replying late

All parameters are within normal limit.Raised A/G ratio is due to fact that albumin level is towards upper limit and globulin level is towards lower limit.
This is normal and it is acceptable.

Arthritis may be seronegative(means blood tests are normal).Diagnosis of arthritis is based upon clinical findings and investigation reports.

If your mother has clinical findings then drugs for arthritis can be started.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Vaishalee Punj