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Routine blood work showed monocytes slightly elevated at

.91, repeated 3 months later...
Routine blood work showed monocytes slightly elevated at .91, repeated 3 months later with monocytes 1.04 and WCC slightly elevated at 11.3. All other white cell values rising from previous blood work but WNL. Neutrophils were 4.75 now 6.86. Lymphocytes 2.30 now 3.13. Have been feeling unwell recently. Night sweats constantly despite no heating on in room, light blankets and fan on. Tired constantly. Dizzy. General aches and pains and joint stiffness. Having follow up blood work this week. Any ideas? Thanks for your time.
JA: In general, how has your health been lately?
Customer: Haven’t felt well in general. Night sweats. Unable to regulate body temp..mostly too hot and perspire with minimal exertion. Tired constantly. Aches, pains, joint stiffness.
JA: Anything else in your medical history you think the doctor should know?
Customer: Generally healthy for 48 year old female.
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Answered in 3 minutes by:
11/23/2017
Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 36,403
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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An elevated or abnormal investigation level needs to be interpreted within the context of the patient’s history, physical examination, diagnostic imaging, and other laboratory work-up findings.

Collectively with your symptoms, you investigations may point to;

1) Mild grade chronic infection.

2) Autoimmune disorder

3) Hormonal issue.

So your further blood work related to above may be recommended.

You would need following investigations:

Liver function tests

Thyroid function tests

Erythrocyte sedimentation rate (ESR)

Serum electrolyte level measurement

Immunoglobulin M (IgM)/immunoglobulin G (IgG) coxsackievirus B titer

IgM/IgG human herpesvirus 6 (HHV-6) titer

IgM/IgG C pneumoniae titer

Autoimmune panel

Anemia panel.

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Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 36,403
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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Customer reply replied 18 days ago
For reference Hbg 142, Haem 0.425, red cell count 4.54, creat 66, Na 140, K 4.3, bili 7, ALT 30, Alk phos 68, GGT 18, vit B12..359, serum folate 3.4, TSH 2.3, free T4 12, FSH 6.5. All WNL.In your opinion should I have any cause for concern in relation to any possible blood disorders (lymph/hodgkins etc)?Sorry...I also forgot to mention earlier that I have recently had a skin biopsy for suspected BCC/SCC...currently awaiting results.Thanks!

You are very welcome.

Your rest of the investigations are normal and chance of lymphoma or Hodgkin's is unlikely.

Please do not search on Google or Internet which will keep on pointing to diagnosis which will increase your anxiety unnecessarily.

It is privilege assisting you.

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Customer reply replied 18 days ago
Thanks for your help.
One further question...can monocytes and WCC be slightly elevated if skin biopsy is positive for cancer?

This may happen just because of procedure than the positive malignancy.

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Dr. Arun Phophalia
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