Name – Biman Das
Age – 28 years
Indian origin, stays in Bangalore, India.
9th July 2012 - hemoglobin electrophoresis suggestive of Homozygous Hemoglobin E disease
Complaint – Weakness since 1year.
Hi…. Below are the complete tests I have done two days back…..
Blood Urea Nitrogen – 11.00 mg/dl
Serum Creatinine – 1 mg/dl
Serum Glucose – 94 mg/dl
SERUM LIVER FUNCTION TEST
Billirubin Total – 1.30 mg/dl
Billirubin – direct – 0.30 mg/dl
SGOT/AST (P5P, IFCC) – 63.00 IU/ml
SGPT/ALT (P5P, IFCC) – 142.00 IU/ml
ALP – 74 IU/ml
Total protein – 7.80 g/dl
Serum Albumin – 4.90 g/dl
Serum Globulin – 2.90 g/dl
ALB/GLOB Ratio – 1.69 g/dl
SERUM TSH (ECLIA) – 6.240 IU/mL
COMPLETE BLOOD COUNT
WBC – 9300.00 /cu.mm
RBC – 6.15 million/cu.mm
Hemoglobin – 11.90 g/dl
Haemotocrit (PCV) – 37.00 %
MCV – 61.00 fL
MCH – 19.40 Pg
MCHC – 31.30 g/dl
Platelet count – 135000.00 /Cu.mm
DIFFERENTIAL COUNT
Neutrophils – 52 %
Lymphocytes – 43 %
Monocytes – 3.00 %
Eosinophils – 2.00 %
ESR – 4.00 /1st hour.
PERIPHERAL SMEAR EXAMINATION
RBC’s – Show moderate anisopoikilocytosis, are microcytic hypochromic with few eliptocytes, target cells.
WBC’s – Leucocytes are normal in total count and distribution
Plateletes – Plateletes are reduced. Macroplateletes noted.
Impression – Microcytic hypochromic blood picture with thrombocytopenia. (Kindly correlate with serum iron,TIBC, ferritin and Hb variant analysis [To rule out hemoglobinopathy])
OTHER TESTS –
Routine Urine analysis – All values are normal
ECG – Normal study
X-Ray of chest – PA View – Normal Study
MY HABBITS –
Non veg 3 days a week
Beer – 3 days a week( 700ml per day) drinking since 10 years.
Smoking – 12 cigarettes per day (Smoking since 10 years).
More Anxiety and less physical activities.
Last one year I am inside my house, just for half an hour I go outside in the morning.
MY HISTORY AND TESTS DONE EARLIER –
History of acidity, constipation and digestion.
9th July 2012 - Haemoglobin electrophoresis suggestive of Homozygous Haemoglobin E disease.
16th October 2012 - Ultrasound of liver – Fatty Liver
18th October 2012 – Liver function test – All values are normal
18th October 2012 – Pulmonary test – Normal spirometery
18th October 2012 – Complete Haemoglobin – Haemoglobin 12.5 gm/dl, WBC – normal in number and morphology, RBC – Anicocytosis with microcytic hypochromic erythrocytes, mild polychromasia, elliptocytes and taget cells, platelets- adequate
Please let me know is it very serious and also let me know some medicines and diet...
Regards
Biman Das
