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What Does This Blood Test And Transthoracic Echo-doppler Report Suggest?
Question: MY MOTHER AGED 71 YEARS WEIGHT 63KG HEIGHT 4.10 FT WAS OPERATED FOR ANGIOPLASTY IN MARCH 2011 AND SHE WAS PUT ON TWO STENTS. IN BLOOD TEST TODAY FOLLOWING REPORT HAS BEEN RECIEVED.
UREA 51
CREATININE 1.65
URIC ACID 4.30
ALP 147
TOTAL PROTIEN 7.3
A:G RATIO 1.21
ALBUMIN 4.00
CALCIUM, TOTAL 8.58
PHOSPHORUS 4.6
SODIUM 138
POTASSIUM 4.2
CHLORIDE 105.
SHE IS PRESENTLY TAKING FOLLOWING MEDICINE : ISOLAZINE (TWICE), DEPLATT 75MG(1 DAILY), LASIX 10MG, IVABRADINA 5MG, ROSEDAY 5MG, PAN-D, ZYLORIC 100MG(THRICE), FLAVEDON MR.
SHE IS NOW FEELING RESTLESSNESS AND SHORTNESS OF BREATH SOMETIMES. HER DEBUTAMIN TEST IS SUGGESTIVE OF A PRIMARILY SCARRED MYOCARDIUM INVOLVING THE APEX , APICO ANTERIOR, APICO SEPTAL, ANTERO-SEPTAL, MID-ANTERIOR, APICO LLATERAL AND APICOINFERIOR SEGMENTS OF THE L V MYOCARDIUM. NO SCAN EVIDENCE OF HAEMODYNAMICALLY SIGNIFICANT REVERSIBLE ISCHEMIA NOTED IN THE ENTIRE L V MYOCARDIUM. DILATED L V CAVITY WITH SEVERLY IMPAIRED L V SYSTOLIC FUNCTION.
AS PER TRANSTHORACIC ECHO-DOPPLER REPORT ON 30-08-2014 WHERE IN
STUDY DONE AT HR OF 85 bpm.
APEX IS ANEURYSMAL. ANTERIOR SEPTUM, IVS, MID DISTAL LATERAL WALL, MID DISTAL INFERIOR WALL AND MID POSTERIOR WALL AREAKINETIC. ALL OTHER SEGMENTS ARE HYPOKINETIC. GLOBE LVEF=20%. LV IS DILATED. ESTAMITED CARDIAC OUTPUT = 1.9 ltr/min AT HR OF 85 bpm. AORTIC CUSPS ARE THICKENED. NO AS. TRACE AR. MITRAL LEAFLETS ARE THICKENED. MILD (2+) MR TRACE TR (RVSP = NORMAL) DIASTOLIC RELAXATION ABNORMALITY PRESENT (A>E). NO INTRACARDIAC CLOT/VEGETATION/PERICARDIAL PATHOLOGY. SEC SEEN IN LV CAVITY. NO CLOT SEEN. IVC IS NORMAL SIZED WITH NORMAL RESPIRATORY VARIATION.
LEVER PANEL REPORT IS AS UNDER
SGOT-16, SGPT-10, GGTP-21, BILIRUBIN DIRECT-0.11, BILURUBIN INDIRECT-0.48,TOTAL PROTIN-7.90
LIPID PROFILE REPORT IS AS FOLLOW
CHOLESTEROL TOTAL-116, TRIGLYCERIDES-145, HDL-32, LDL-55, VLDL-29, NON HDL-84.
HEMOGRAM REPORT IS AS FOLLOW
HEMOGLOBIN-11, PCV-34, RBC-3.66, MCV-94.2, MCH-29.9, MCHC-31.8, RDW-13.6, TLC-9.1,
DLC REPORT,
LYMPHOCYTES-16.3, SEGMENTED NEUTROPHILS-63.1, MONOCYTES-6.5, BASOPHILS-0.9,
ALC REPORT
NEUTROPHILS-5.74, LYMPHOCYTES-1.48, MONOCYTES-1.20 EOSINOPHILS-0.59, BASOPHILS-0.08, PLATELET COUNT 103, ESR-64....
PLEASE ADVICE AS SHEIS FEELING BREATHING PROBLEM NOW A DAYS. ALL THESE REPORTS ARE DONE ON 31/08/2014 WHEREAS KFT AS GIVEN ON THE TOP WAS CARRIED ON TODAY.
I SHALL BE GREATFULL IF SUITAIBLE ADVICE IS GIVEN.
THANKING YOU,
YOURS
XXXXXXX XXXXXXX
YYYY@YYYY
whether stopping pan-d capsule is o.k. is her health is improving given the good report of kft done today compared to kft done on 30.08.2014 as i find that health parameters are better than earlier in compairing both kft reports. pl. advice. thanks
UREA 51
CREATININE 1.65
URIC ACID 4.30
ALP 147
TOTAL PROTIEN 7.3
A:G RATIO 1.21
ALBUMIN 4.00
CALCIUM, TOTAL 8.58
PHOSPHORUS 4.6
SODIUM 138
POTASSIUM 4.2
CHLORIDE 105.
SHE IS PRESENTLY TAKING FOLLOWING MEDICINE : ISOLAZINE (TWICE), DEPLATT 75MG(1 DAILY), LASIX 10MG, IVABRADINA 5MG, ROSEDAY 5MG, PAN-D, ZYLORIC 100MG(THRICE), FLAVEDON MR.
SHE IS NOW FEELING RESTLESSNESS AND SHORTNESS OF BREATH SOMETIMES. HER DEBUTAMIN TEST IS SUGGESTIVE OF A PRIMARILY SCARRED MYOCARDIUM INVOLVING THE APEX , APICO ANTERIOR, APICO SEPTAL, ANTERO-SEPTAL, MID-ANTERIOR, APICO LLATERAL AND APICOINFERIOR SEGMENTS OF THE L V MYOCARDIUM. NO SCAN EVIDENCE OF HAEMODYNAMICALLY SIGNIFICANT REVERSIBLE ISCHEMIA NOTED IN THE ENTIRE L V MYOCARDIUM. DILATED L V CAVITY WITH SEVERLY IMPAIRED L V SYSTOLIC FUNCTION.
AS PER TRANSTHORACIC ECHO-DOPPLER REPORT ON 30-08-2014 WHERE IN
STUDY DONE AT HR OF 85 bpm.
APEX IS ANEURYSMAL. ANTERIOR SEPTUM, IVS, MID DISTAL LATERAL WALL, MID DISTAL INFERIOR WALL AND MID POSTERIOR WALL AREAKINETIC. ALL OTHER SEGMENTS ARE HYPOKINETIC. GLOBE LVEF=20%. LV IS DILATED. ESTAMITED CARDIAC OUTPUT = 1.9 ltr/min AT HR OF 85 bpm. AORTIC CUSPS ARE THICKENED. NO AS. TRACE AR. MITRAL LEAFLETS ARE THICKENED. MILD (2+) MR TRACE TR (RVSP = NORMAL) DIASTOLIC RELAXATION ABNORMALITY PRESENT (A>E). NO INTRACARDIAC CLOT/VEGETATION/PERICARDIAL PATHOLOGY. SEC SEEN IN LV CAVITY. NO CLOT SEEN. IVC IS NORMAL SIZED WITH NORMAL RESPIRATORY VARIATION.
LEVER PANEL REPORT IS AS UNDER
SGOT-16, SGPT-10, GGTP-21, BILIRUBIN DIRECT-0.11, BILURUBIN INDIRECT-0.48,TOTAL PROTIN-7.90
LIPID PROFILE REPORT IS AS FOLLOW
CHOLESTEROL TOTAL-116, TRIGLYCERIDES-145, HDL-32, LDL-55, VLDL-29, NON HDL-84.
HEMOGRAM REPORT IS AS FOLLOW
HEMOGLOBIN-11, PCV-34, RBC-3.66, MCV-94.2, MCH-29.9, MCHC-31.8, RDW-13.6, TLC-9.1,
DLC REPORT,
LYMPHOCYTES-16.3, SEGMENTED NEUTROPHILS-63.1, MONOCYTES-6.5, BASOPHILS-0.9,
ALC REPORT
NEUTROPHILS-5.74, LYMPHOCYTES-1.48, MONOCYTES-1.20 EOSINOPHILS-0.59, BASOPHILS-0.08, PLATELET COUNT 103, ESR-64....
PLEASE ADVICE AS SHEIS FEELING BREATHING PROBLEM NOW A DAYS. ALL THESE REPORTS ARE DONE ON 31/08/2014 WHEREAS KFT AS GIVEN ON THE TOP WAS CARRIED ON TODAY.
I SHALL BE GREATFULL IF SUITAIBLE ADVICE IS GIVEN.
THANKING YOU,
YOURS
XXXXXXX XXXXXXX
YYYY@YYYY
whether stopping pan-d capsule is o.k. is her health is improving given the good report of kft done today compared to kft done on 30.08.2014 as i find that health parameters are better than earlier in compairing both kft reports. pl. advice. thanks
Brief Answer:
You should continue your medicine.
Detailed Answer:
Hi, dear. I have gone through your all reports. You have heart disease. Your all report suggest that you have heart problems only. Your rest all reports are normal. You should continue your current medications. Your breathlessness is due yo heart problems. Your zyloric is due to control your uric acid. You can stop pan d if you don't have gastric problems like acidity. If you feel anything like this then start it again.
Your kidney function test is improving. So just be relaxed. Take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic.
Wish you a very good health.
You should continue your medicine.
Detailed Answer:
Hi, dear. I have gone through your all reports. You have heart disease. Your all report suggest that you have heart problems only. Your rest all reports are normal. You should continue your current medications. Your breathlessness is due yo heart problems. Your zyloric is due to control your uric acid. You can stop pan d if you don't have gastric problems like acidity. If you feel anything like this then start it again.
Your kidney function test is improving. So just be relaxed. Take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic.
Wish you a very good health.
Above answer was peer-reviewed by :
Dr. Raju A.T
My mother is feeling breathleness while brushing her teeth. She feels the when is walks for short duration. Whether any injection can be suggeted to alleviate her problems. Pl advice as she wants some relief from this problems.
Brief Answer:
It may be due to congestive cardiac failure
Detailed Answer:
Hi, dear.
I have gone through your reports. Your first report is password protected so I m not able to see it. Second report of lal path is almost normal except alkaline phosphatase. Your respiratory problem may be due to congestive cardiac failure or may be due to anemia or respiratory problems. So you should go for x ray chest to search for the cause. If you have cardiac problem then injection lasix will help to clear congestion. If it is due to respiratory problem then injection dariphyline will help. But both should be taken on prescription with after confirmed diagnosis. So consult your treating physician and take it according to his advice.
Hope I have answered your question, if you have doubt then I will be happy to answer.
Thanks for using health care magic.
Wish you a very good health.
It may be due to congestive cardiac failure
Detailed Answer:
Hi, dear.
I have gone through your reports. Your first report is password protected so I m not able to see it. Second report of lal path is almost normal except alkaline phosphatase. Your respiratory problem may be due to congestive cardiac failure or may be due to anemia or respiratory problems. So you should go for x ray chest to search for the cause. If you have cardiac problem then injection lasix will help to clear congestion. If it is due to respiratory problem then injection dariphyline will help. But both should be taken on prescription with after confirmed diagnosis. So consult your treating physician and take it according to his advice.
Hope I have answered your question, if you have doubt then I will be happy to answer.
Thanks for using health care magic.
Wish you a very good health.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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