Tags » Laboratory Testing
I've had 2 RCC with one nephrectomy and then, a radiofrequency ablation. I have CKD stage 3. The doctors have discovered another mass on the remaining kidney. I have recently had a MRI w/ & w/o contrast for another condition after my egfr was checked. Now, I am in need of a CT w/ & w/o contrast. I have other masses in my body in need of scans, so how much contrast can my kidney handle?
I am scheduled for a colonoscopy next week. My gastroenterologist wants me to use a prep called MOVI. He knows I have stage 3 CKD, but I am scared that I might do more damage to my kidneys. What is your opinion of this prep? I have a history of colon polyps, and it's been 5 years since my last colonoscopy, and several were removed at that time (one was the pre-cancerous kind). I am currently on Losartan (25 mg). My GP doesn't want to refer me to a kidney specialist yet.
My eGFR is 53ml/min/1.73m2, Creatinine is 135 micromol/l, Albumin is 40g/l, sodium is 127 mmol/l, Bicarbonate is 28 mmol/l, AlkP (liver/bone) is 100. I recently received a letter from my nephrologist with diagnosis as CKDG4A3. As per the results, shouldn't it be CKDG3A1? Earlier letters didn't have diagnosis, I was initially diagnosed as Stage 3 CKD. I'm guessing this should've been a mistake as per the results. Can you please share your thoughts? Also, I would like to know about Bicarbonate and AlkP level and how it can be managed, these two are the progressive ones in my tests. I would like to know how this can be managed through diet if possible.
I am unable to give medical advice without performing a complete history and physical examination. I am not able to interpret laboratory testing without knowing your complete medical history. 32 more words
Hi Doctor: I'm a 60 year old woman who is a marathoner. I have ran 8 marathons in the last 10 months and several short races. I was tired a lot and decided to see my regular doctor. My CK numbers read 261. and CKMB 8.1. I rested a few days and the CK went down to 180. I ran another long training run and was tested again and my CK was 216. How long do I need to rest to get my numbers below 160? I am also drinking lots of water now because I was severely dehydrated. I do not drink alcohol or smoke or anything like that. Is this kind of reading normal for long distance ultra runners?
The creatine phosphokinase (CPK or CK) is a muscle enzyme test that is elevated any time there is any muscle injury. In the case of strenuous exercise, the elevation depends on how strenuous the exercise and the muscles injured. 68 more words
Hi Dr Spry, my question pertains to my brother, who is 42. He has HTN consistently and decreased kidney function. He is going on a year if not more. He has seen a urologist but was told he needs to see a nephrologist. Problem is nobody has done anything to treat his HTN or the pain he gets in his flank area, so he refuses to see anyone else because these issues are not getting addressed. He did get 30 days of Lisinopril 20mg QD but won't take it because it can cause him impotence. Of course, I explained there are other BP meds or meds to help with his other issue. So, with that being said, I would like to know how I can get him an appointment preferrably at your office, doesn't matter who, sooner than later, to help get his BP under control and to monitor his kidney functions? I hate to ask another question but I have just found out my mom has decreased kidney function, Stage 3. Her last test showed 48%, which is up from last one, which I don't know what is was. I have no idea if there is family hx of this or not, but not to my knowledge. My mom's hx includes ETOH abuse, sober over 25yrs, tobacco use, has had her back fused and L)shoulder redone. She takes vitamins daily, low dose of Metotoprol 12.5mg, I believe, but she also takes alot of Tylenol and Ibuprofen and PRN Meloxicam. I look back and should have noticed some of her symptoms of the facial swelling, her H&H run consistenlty borderline or low and most recently fatigue. She is 71yrs old but very active, goes snow skiing, golfs all summer long, travels state to play in tournaments, does Zumba and walks so I thought all was good. I know that she will not do any type of dialysis, she just won't. So given her kidney function was lower than 48% and came up to that, can it get better, can she get better? I know this is more than likely not acute and is chronic and I know that outcome but if she does choose not to do dialysis, what kind of time frame does she have? I know everyone is different as is every situation so hypothetically, what would you say? I appreciate your time and consideration with my questions. I always enjoyed you taking care of your patients!
In the case of your brother, I have always found that such people need to start trusting a physician. The best place to start is with a primary care physician (PCP). 164 more words
My 91 y old mother's creatinine level is 1.29 mg/dl (114 umol/L) ( lab. reference range 50-98umol/L)), Cystatin C 2.40 mg/L (0.40-1.20 lab range), uric acid 9.45 mg/dl (562 umol/ L) (150-400 lab. range. Calculated eGFR is 39 with creatinine level, but with Cystatin C value is only 20. Which eGFR should I use for medications dosages?
The Food and Drug Administration (FDA) recommends using the Cockroft Gault formula for calculating the creatinine clearance in dosing of drugs. You can access the CG formula at: 39 more words