[42M] With abnormal lab results including elevated glucose, lipase, WBC, and platelet count

Patient Description

A 42-year-old male presented with abnormal laboratory results. The Basic Metabolic Panel (BMP) showed elevated glucose at 127 mg/dL (reference range: 70-99 mg/dL), low carbon dioxide at 20 mmol/L (reference range: 22-31 mmol/L), and low creatinine at 0.63 mg/dL (reference range: 0.72-1.25 mg/dL). The Lipase, Serum test revealed a significantly elevated lipase level at 536 U/L (reference range: <60 U/L). The Complete Blood Count (CBC) showed elevated white blood cell count (WBC) at 15.86 1000/UL (reference range: 4.00-11.00 1000/UL), increased red cell distribution width (RDW) at 15.9% (reference range: 11.6-14.4%), and elevated platelet count at 568 1000/UL (reference range: 150-450 1000/UL). The Differential showed elevated absolute polys at 11.89 1000/UL (reference range: 1.80-8.00 1000/UL). All other components of the tests were within normal limits. Further evaluation by a healthcare provider is recommended to determine the underlying cause of these abnormalities.

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Arora's Assessment

What might be happening

Based on the lab results you provided, here are some possible explanations for the abnormal values:

  • Elevated Glucose (127 mg/dL): This could indicate prediabetes or diabetes. Elevated blood sugar levels can be a sign that your body is not managing glucose effectively.

    • Typical Testing and Treatment: Further testing, such as an HbA1c test, may be recommended to assess long-term glucose control. Lifestyle changes, such as diet and exercise, and possibly medications, might be necessary.
  • Low Carbon Dioxide (20 mmol/L): This could be a sign of metabolic acidosis, which can occur in various conditions, including kidney issues or severe infections.

    • Typical Testing and Treatment: Additional tests to determine the underlying cause might be needed. Treatment would focus on addressing the root cause.
  • Low Creatinine (0.63 mg/dL): While slightly low, this is generally less concerning than elevated creatinine. It could be due to lower muscle mass or other non-serious factors.

    • Typical Testing and Treatment: Usually, no specific treatment is needed unless associated with other symptoms.
  • Elevated Lipase (536 U/L): This is significantly high and often indicates pancreatitis or other pancreatic disorders.

    • Typical Testing and Treatment: Imaging studies like an abdominal ultrasound or CT scan may be recommended. Treatment usually involves managing the underlying cause, which could include dietary changes and medications.
  • Elevated WBC (15.86 1000/UL): This indicates an infection or inflammation in the body.

    • Typical Testing and Treatment: Further investigation to identify the source of infection or inflammation is needed. Treatment would involve addressing the underlying cause.
  • Elevated RDW (15.9%): This can indicate a variety of conditions, including anemia or other blood disorders.

    • Typical Testing and Treatment: Additional blood tests to determine the type and cause of anemia may be necessary. Treatment would depend on the specific diagnosis.
  • Elevated Platelet Count (568 1000/UL): This can be a sign of inflammation, infection, or other conditions affecting the bone marrow.

    • Typical Testing and Treatment: Further tests to identify the cause are needed. Treatment would focus on the underlying condition.
  • Elevated Polys, Absolute (11.89 1000/UL): This suggests an ongoing infection or inflammation.

    • Typical Testing and Treatment: Identifying and treating the underlying cause is essential.

What you can do

  1. Consult Your Doctor: It's important to discuss these results with your healthcare provider for a comprehensive evaluation and appropriate management.
  2. Monitor Symptoms: Keep track of any symptoms you experience and report them to your doctor.
  3. Healthy Lifestyle: Maintain a balanced diet, exercise regularly, and avoid smoking and excessive alcohol consumption.

What you should look out for

  • Worsening Symptoms: If you experience severe abdominal pain, persistent fever, or other concerning symptoms, seek medical attention immediately.
  • New Symptoms: Report any new or unusual symptoms to your healthcare provider.
  • Follow-Up Tests: Ensure you follow up with any additional tests or appointments recommended by your healthcare provider.

Remember, this information is not a substitute for professional medical advice. Please consult your healthcare provider for a formal diagnosis and treatment plan.

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7 mo ago

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People Also Ask


What does an elevated glucose level indicate?

An elevated glucose level can indicate prediabetes or diabetes, suggesting that the body is not managing glucose effectively. Further testing, such as an HbA1c test, may be needed to assess long-term glucose control.


What could cause a low carbon dioxide level in the blood?

A low carbon dioxide level in the blood could be a sign of metabolic acidosis, which can occur due to kidney issues, severe infections, or other conditions. Additional tests are often required to determine the underlying cause.


What are the potential causes of elevated lipase levels?

Elevated lipase levels are often associated with pancreatitis or other pancreatic disorders. Imaging studies like an abdominal ultrasound or CT scan may be recommended to further investigate the cause.


Why might someone have an elevated white blood cell count?

An elevated white blood cell count typically indicates an infection or inflammation in the body. Further investigation is needed to identify the source, and treatment would focus on addressing the underlying cause.


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1 Comments


Billy#3955

7 mo ago

Are you having any abdominal pain, changes in your stools, or other symptoms? The elevated lipase and high WBC count are concerning for pancreatitis. The elevated glucose may or may not be concerning; what is your HgA1c (a more reliable indicator of long term blood sugar)?

Also, by the way, test results like this are better suited for the "explain result" flow on this platform

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