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Thursday, April 17, 2014
Low co2, High Creatinine, Low GFR, ABN, CBC
I just received test results and my pcp thinks to seem I have a virus. In the last 4-5 days I have experienced dizzyness, `blank stare`, fatigue, lethargy, nausea, headache, and chest heaviness. My labs are as follows: creatinine 1.20, gfr 50, CO2 19, wbc 13.8, hct 47.5, eos 883. My urine returned leukocyte esterase 2+, wbc 40-60, bacteria few. I have medullary sponge kidney and am a prime teaching film for students since my kidneys are filled with stones. I have been dealing with the abnormal cbc for a year.
The endocrinologist I see doesnt seem to be worried that the wbc`s have gone from 16.3 - 14.1 - 11.6 - 10.0 - 13.8, that the hct has gone from 45.8 - 46.1 - 45.8 - 43.9 - 47.5, and the eos have gone from 1744 - 1410 - 719 - 930 - 883. This is the first time that I have had a CO2 come back low. I have read several articles online which lean towards kidney failure, addisons, among other things. What is your honest opinion on what I should be doing.
There has been some fluctuation in your WBC and HCT but not a fluctuation that would signal a specific concern. I am uncertain as to why your eos are elevated so I would ask your doctor (possibilities are many but I am wondering about allergies or allergy to a medication). As for a low bicarbonate and gfr, this may be related to the renal stress of your recent illness and should be repeated when you are feeling well.
Thomas Zipp, MD
Assistant Professor of Medicine
School of Medicine
Case Western Reserve University