How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Brims Your Own Question

Dr. Brims
Dr. Brims, U.S. Licensed Physician
Category: Health
Satisfied Customers: 8891
Experience:  U.S. Licensed Physician, general surgery and internal medicine experience
Type Your Health Question Here...
Dr. Brims is online now
A new question is answered every 9 seconds

My daughter had a sudden onset illness 5 weeks ago that took

Resolved Question:

My daughter had a sudden onset illness 5 weeks ago that took us to 2 hospitals, admitted and treated for bacterial pneumonia. During this illness there were some markers that seemed odd. We were told that she had agglutinin and her blood work had to be redone? She seemed to recover fine. Today she again had a sudden attack(no previous symptoms) at school with extremely high fever, centralized chest pain and overall malaise. Went to emerg., although they found blood in the urine they said this could happen, left lung was blurry/cloudy but not pneumonia, they said blood work was all normal and they said she has a virus. I requested a copy of blood work. This is what it showed: wbc: 10.5, rbc: 4 Hgb: 126 Hct: .35 Neut%: .8 Lymph: .12 Neut#: 8 Lymph#: 1.2 I know all these things are part of the wbc and are either on the top end of normal or the bottom end of normal. Should I be seeking a second opinion? (side note: she has had several nose bleeds and has at least a dozen bruises of varying sizes all over the body)
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Brims replied 1 year ago.

Dr Brims :

Hello, welcome to the site! My name isXXXXX and I will try to assist you with your medical question, and any medical information you seek

Dr Brims :

I'm sorry to hear about this

Dr Brims :

Did they take blood cultures?

Dr Brims :

Does she have any discomfort with urination?

Customer:

Thank you. No problems with urination. 5 weeks ago when we went to emerg. they first diagnosed her with kidney infection because of blood in urine and high wbc. They eventually ruled this out and diagnosed her with bacterial pneumonia and said it went septic? today they did bloodwork and the numbers I posted were the only numbers that were either high or low.

Dr Brims :

Okay, so they did not do blood cultures or they have not come back? They take 48 hours to return

Customer:

I will also tell you that in her almost 11 years she has never required any medical assistance. Our family doctor just reintroduced himself from when she was immunized. SO healthy until 5 weeks ago.

Customer:

no blood cultures as far as I'm aware

Customer:

they were pretty content to say that she had a virus and is still recovering from the previous pneumonia. I should tell you about her xrays....

Dr Brims :

Okay, I would advise she have blood cultures, if her doctor does not want to order it then you should seek another opinion

Customer:

when I questioned the dr. about blood in the urine, he said this could happen??? I then asked about the high temp. and chest pain. He took me to look at the xrays. He showed me an 'old' xray of Brooks lungs that looked healthy and normal then showed me todays being cloudy and said that was evidence of the previous condition and it still heal

Customer:

healing....

Dr Brims :

Okay

Customer:

What he didn't know was that the healthy xray was taken only 2 days after her release from a different hospital.... He thought he was showing me that todays xray was just left over from the pneumonia, not realizing that the other xray he was contrasting it with was actually the sick one. He didn't know what to say. He seemed to get defensive and said that 'nobody would diagnose that (todays xray) as being pneumonia"

Customer:

I'm not looking for a diagnosis of pneumonia...but a reasonable explanation. Could the cloudiness be inflammation?

Dr Brims :

The cloudiness is a sign of inflammation in the lungs, pneumonia could be viral or bacterial in origin

Customer:

the left lung was definitely more cloudy than the right. It would seem that one was clear and the other cloudy? What other things can cause inflammation in the lungs? Seemingly Suddenly? She was fine last night, fine this morning, ate breakfast, went to school and then got very sick...fever of 104.

Dr Brims :

A virus, a fungus or a bacteria can cause inflammation in the lungs

Customer:

so this could be a virus then....just seems curious to happen again so close to this last illness? What does blood in the urine mean? The only reason I even know about this is because the nurse asked if she had her period. She is only 10 and hasn't started to menstruate.

Dr Brims :

Blood in her urine may be a sign of a urinary tract infection, it may occur in pneumonia, or i may be a sign of kidney damage

Customer:

what about leukemia?

Dr Brims :

A urine culture and blood tests would determine if any of these are present

Dr Brims :

blood in urine is not a key sign of leukemia

Customer:

good to know. thank you.

Dr Brims :

You're quite welcome

Dr Brims :

If you have any questions in the future you may request me by starting the question with "Dr Brims"

Customer:

with the wbc, being slightly elevated and other numbers out of whack a bit, would you suspect the beginning of an infection, either viral or bacterial?

Dr Brims :

Yes, it could be the beginning of an infection, or the end of an infection

Customer:

thank you Dr. Brims. Have a good night.

Dr Brims :

You're very welcome

Dr Brims :

Same to you

Dr. Brims, U.S. Licensed Physician
Category: Health
Satisfied Customers: 8891
Experience: U.S. Licensed Physician, general surgery and internal medicine experience
Dr. Brims and 4 other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery
 
 
 

Related Health Questions