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Answer to your Health Question

Question (05/12/2012):

Title: Copper | RDW | WESTERGREN ESR | ALB | A/G RATIO | ANGIOTEN-I CONV | CO2

Copper 194 H

RDW 16.3 H

WESTERGREN ESR 32 H

ALB 3.2 L

A/G RATIO 0.8 L

ANGIOTEN-I CONV 85 H

CO2 31 H

Please help me understand what these abnormal results may mean


Answer:

The normal range of Copper is 10 to 30 micrograms per 24 hours

An abnormal result means you have a higher than normal level of copper. This may be due to:

-Biliary cirrhosis
-Chronic active hepatitis
-Wilson's disease

Higher RDW (red blood cell distribution width ) values indicate greater variation in size.

Normal RDW reference range in human red blood cells is 11–15%

Iron deficiency anemia initially presents with a varied size distribution of red blood cells, and as such shows an increased RDW.

In the case of a mixed iron and B12 deficiency, there will normally be a mix of both large cells and small cells, causing the RDW to be elevated. An elevated RDW (red blood cells of unequal sizes) is known as anisocytosis

The erythrocyte sedimentation rate (ESR), also called a sedimentation rate or Westergren ESR, is the rate at which red blood cells sediment in a period of 1 hour. It is a common hematology test, and is a non-specific measure of inflammation.

ESR reference ranges from a large 1996 study of 3,910 healthy adults:

Age

20

55

90

Men -- 5% exceed

12

14

19

Women -- 5% exceed

18

21

23

A very high ESR usually has an obvious cause, such as a marked increase in globulins that can be due to a severe infection. The doctor will use other follow-up tests, such as blood cultures, depending on the patient's symptoms. People with multiple myeloma or Waldenstrom's macroglobulinemia (tumors that make large amounts of immunoglobulins) typically have very high ESRs even if they don't have inflammation

Albumin (Alb)

Reference range 3.5 to 5.3 g/dL

Albumin is a protein made specifically by the liver, and can be measured cheaply and easily. It is the main constituent of total protein; the remaining froglobulins). Albumin levels are decreased in chronic liver disease, such as cirrhosis. It is also decreased in nephrotic syndrome, where it is lost through the urine.

Albumin globulin ratio or A/G ratio

Normal lab range: 1.1 - 2.5

A low A/G ratio reflects overproduction of globulins, due to chronic infections.

Angioten-I Conv: normal lab range: 4-60 u/l

This test measures the amount of an enzyme called angiotensin-converting enzyme in blood. It is used to evaluate diseases such as sarcoidosis, suspected leprosy, or suspected Gaucher's disease.

In a diagnostic setting, if ACE levels are high, other diseases have been ruled out, and a person has clinical findings consistent with sarcoidosis, then it is likely that the person has an active case of sarcoidosis. The finding of a high ACE level helps to confirm the diagnosis.

High and low levels of ACE may be seen in a variety of conditions other than sarcoidosis. The ACE test, however, is not routinely used to diagnose or monitor these conditions (it has not been shown to be clinically useful).

The CO2 levels in blood test results will tell the physician what the level of bicarbonates is within the blood.

The normal range is 23-29 mEq/L (milliequivalent per liter).

Higher-than-normal levels may be due to:

-Breathing disorders
-Cushing syndrome
-Hyperaldosteronism
-Vomiting



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