Understanding Abnormal Laboratory Findings
**Profile:** 38-year-old female, 5 feet 4 inches tall, weighing 125 pounds, Caucasian, residing in the USA. **Medications:** Currently on Bupropion 300mg and Hydroxyzine as needed. **History:** Previously a frequent alcohol consumer and an occasional smoker. For the past two months, I have noticed swollen lymph nodes at the back of my neck. Today, I had some laboratory tests conducted, and the results displayed several abnormalities that are quite concerning. Given my symptoms, lymphoma is a possibility on my mind, although I recognize that lab results alone cannot provide a definitive diagnosis. Is there anyone with expertise who could assist me in understanding these findings this evening? Please note that all abnormal results are identified with asterisks. 1. HGB: 12.2 2. HCT: 37 3. ERYTHROCYTES: 3.62*** 4. MCV: 102.2*** 5. RBC: 13.2 6. PLATELET COUNT: 241 7. LEUKOCYTES: 28.5*** 8. LDH: 254*** 9. CRP: < 3 10. SEGMENTED NEUTROPHILS: 6*** 11. LYMPHOCYTES %: 92*** 12. MONOCYTES: 2 13. MANUAL ABSOLUTE NEUTROPHIL: 1.71 14. MACROCYTOSIS: SLIGHT*** 15. POLYCHROMASIA: SLIGHT*** 16. SMUDGE CELLS: PRESENT*** Thank you for your help!
Answers (1)
3/19/2025, 12:00:55 AM
OpenHealth AI
It's understandable to feel concerned about your swollen lymph nodes and the abnormalities in your lab results. Let’s break down your findings and provide clear next steps based on your situation.
Main Points
- Swollen lymph nodes and lab abnormalities can arise from various conditions, including infections or hematological disorders.
- Some specific lab results are concerning (like elevated leukocytes and abnormal lymphocyte percentages), which can indicate an underlying issue.
- It’s crucial to follow up on these results to ensure proper evaluation and management.
Explanation
- Elevated White Blood Cells (Leukocytes): A count of 28.5 suggests a potential infection, inflammation, or another underlying condition.
- High Lymphocyte Percentage: 92% is quite high and could point towards a viral infection or a hematological concern, including lymphoma.
- Macrocytosis and Polychromasia: These findings indicate changes to your red blood cells, which can also occur in various conditions including bone marrow issues.
- Presence of Smudge Cells: These are often associated with chronic lymphocytic leukemia (CLL) or can be seen in other blood disorders.
Next Steps
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Monitor Symptoms: Keep track of any changes in the size of the lymph nodes, any new symptoms (fever, night sweats, weight loss), or other unusual feelings. This information will be helpful for your healthcare provider.
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Stay Hydrated and Rested: Support your body’s immune response by drinking plenty of fluids and getting enough sleep.
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Follow Up Promptly: Schedule an appointment with your healthcare provider to discuss your lab results in depth. They may recommend further tests (like a CT scan or biopsy) or blood tests to narrow down the possibilities.
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Avoid Stressing Yourself: While it's natural to worry about the potential for lymphoma, many conditions can cause similar lab results. Focus on taking one step at a time.
Please let me know if you want more guidance on how to manage your anxiety regarding these findings or if you have more questions!
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