Are any of you lab result brainiacs? Home health came by this morning to draw some labs on Ethan and to do a dressing change on his PICC line. This time they only drew an ESR and CRP (they didn't draw a CBC, I think because it's been normal for a while now). Well, the nurse called a little bit ago and his CRP is now 5 something (remember it was as high as 25 but should be less than 0.8). But the weird thing is that the ESR is going UP! It is now 33 (on the last post I said it was 32, but I was corrected today and it was actually 30). The normal (I think) should be 5-9. These tests both indicated infection or inflammation.
So this brings me to my question. The lump looks WAY better. Ethan is acting fine. I would think that with the CBC being normal and the CRP going down, that the infection is almost better. But why would the ESR go up? Does anybody have any ideas? If you have any, give me your ideas.
Ethan has a cardiology appointment next Wednesday. I'll be sure to ask then. But in the meantime, help me brainstorm what would be inflamed and/or infected.
---Allison
Friday, December 4, 2009
I'm Confused
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6 comments:
Who Knows, I would have them do a finger poke and recheck the ESR. That number is really high to not have it correlate with his CRP. I know that my peds office always uses the ESR and cardiology always does a CRP. When we have had both tested with Kaidence like when she had pneumonia they were both high. I would recheck tomorrow and wait to see the results as long as he seems to be doing fine.
Good Luck and let us know. We have had many weird lab results that were just errors. Also, is he still on antibiotics?
I would think that if the CBC is normal you should not be too concerned with the ESR #'s. I would think it means he still has some inflammation and after all he has been through it might take awhile for it to get back to normal range. The fact that the CRP is normal is also a good sign. The reason that a cardiologist would be more concerned with CRP is that it tells them if there is pulmonary, tissue, and myocardial infarction as well as if there is a bacterial infection going on. The other possibility is lab error. hope this helps. Love you all!!!
Rachel
Admittedly, I have absolutely no clue what medical issues are going on, but my thought is that somehow there is inflamation associated with the PICC line that is not specifically related to the infection. What do you think of that theory?
Could it be related to the antibiotic... Just saying.... Once c-diff hits it is hard to bring those numbers back down and he was on some big guns...
ohhhh--- Sorry...
Hugs
Here's a {{{{{HUGE HUG}}}}} for you, Allison! I wish I knew anything about this that could help you out, but I wanted to let you know that we're thinking about you!
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