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Question for my daughter. Fever, low count, elevated ast. 2…

Question for my daughter ...

Question for my daughter

Doctor's Assistant: What are all the symptoms you're experiencing (e.g. loss of appetite, fever, rash)?

Fever, low white count, elevated ast

Doctor's Assistant: How long have you had a fever? Do you have any respiratory symptoms?

2 weeks, previous respiratory infection in September

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

Hx of asthma

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Customer reply replied 7 months ago
27 year old female, no Tylenol or alcohol use. Previous respiratory infection and asthma exacerbation in September 2017, treated with prednisone X 17 days. WBC 3.1, Platelets 135, AST 35, glucose 105 (non fasting)
Answered in 12 minutes by:
11/19/2017
Dr. Phil, MD
Dr. Phil, MD, Medical Doctor
Category: Medical
Satisfied Customers: 59,643
Experience: Medical Doctor Trained at a Top Academic Institution
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Hi, this is Dr Phil, here to assist you. I am Board Certified with over 10 years of experience. I will respond with my answer shortly. Thank you.

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That AST isn't elevated in my lab. So I would say borderline at best

was she tested for mono?

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Customer reply replied 7 months ago
No mono spot

That would be the most like diagnosis for a 27 year old with this constellation of symptoms

I would do a mono blood test as well

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Customer reply replied 7 months ago
Don't want to spend the additional 50 right now.

No problem

the site automatically offers that

I'm fine if we just continue in the chat

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Customer reply replied 7 months ago
She lives in NYC, is traveling home to Ohio today. Spiking temps (100-102) nightly. Student, working 3 jobs, teaches preschool age.
Customer reply replied 7 months ago
Concerned with white count. She had a reaction to Bactrim in 2011 with a skin absess and was hospitalized X 6 days with r/o sepsis.
Customer reply replied 7 months ago
Unrelated, but of concern

Yes, when the immune system is run down, mono is common

also in contact with a lot of germs with preschoolers

I'm very sorry about this

needs tested for mono ASAP

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Customer reply replied 7 months ago
Very helpful. Thank you!

welcome :)

let me know how she does

I'm sorry she is feeling so bad

let me know if you have other questions.

if done for now, please leave a 5 star rating above the chat box so I can get credit for helping you today

we only get credit for helping clients after positive feedback

you can always reach me with "a question for Dr. Phil" in the medicine, cardiology or pharmacy categories if you have any other questions

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Dr. Phil, MD
Dr. Phil, MD, Medical Doctor
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