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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The Below Blood Report Of Avascular Necrosis (AVN) Patient Suggest ?

Hi ,
I was diagnosed AVN in rt Shoulder femur head a year back .despite many test no reason could be diagnosed.Now during routine health checkup my blood test report shows
High sensetive CRP : > 10.2
High Homocystene : 36.3
lower MCHC : 29.2
RCDW -SD : 51.8
RCDW -CV : 15
PLATELET DISTRIBUTION WIDTH 17.69
PLCR: 59.4
High CHolestrol : HDL : 27 , TRIG 227 , VDL : 45.4
APO-a1 :94MG APO B/APO A ratio 1.1


note : only those reports a which have values out of reference range are mentioned above .

Does it points towards some fatal health condition Anemia or Cancer
Please help me as am running here and there without proper diagnose,
with a bunch of reports, finding treatment of severe pain in shoulder
Mon, 13 Jul 2015
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,
On the basis of reports posted by you, following conclusions can be made:
1. High high sensitive CRP, high homocysteine and high apolipoprotein a1 are suggestive of high risk for ischemic heart disease (IHD).
2. High RDW is suggestive of increased variation in sizes of red blood cells, this variation is seen in iron deficiency anemia.
3. Low MCHC is seen in microcytic hypochromic anemia. Iron deficiency is one of the causes of microcytic anemia.
4. High cholesterol, low HDL and high triglycerides suggest deranged lipid profile. Deranged lipid profile is a risk factor for ischemic heart disease.
5. Elevated PDW indicates variation in sizes of platelets and this is seen in regenerative marrow.

You need to consult your physician with these reports for prescription of appropriate drugs.
You need a consultation with a cardiologist also to assess the cardiac functions.
For the shoulder pain, you need to consult an orthopedician for clinical assessment and thus management.

Thanks and take care
Dr Shailja Puri


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What Does The Below Blood Report Of Avascular Necrosis (AVN) Patient Suggest ?

Hello and welcome to HCM, On the basis of reports posted by you, following conclusions can be made: 1. High high sensitive CRP, high homocysteine and high apolipoprotein a1 are suggestive of high risk for ischemic heart disease (IHD). 2. High RDW is suggestive of increased variation in sizes of red blood cells, this variation is seen in iron deficiency anemia. 3. Low MCHC is seen in microcytic hypochromic anemia. Iron deficiency is one of the causes of microcytic anemia. 4. High cholesterol, low HDL and high triglycerides suggest deranged lipid profile. Deranged lipid profile is a risk factor for ischemic heart disease. 5. Elevated PDW indicates variation in sizes of platelets and this is seen in regenerative marrow. You need to consult your physician with these reports for prescription of appropriate drugs. You need a consultation with a cardiologist also to assess the cardiac functions. For the shoulder pain, you need to consult an orthopedician for clinical assessment and thus management. Thanks and take care Dr Shailja Puri