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Free cultures 2 patch 1.06

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The chancellor in West African cultures is now called Grand Vizier - The minor title 'title_ruler_consort' no longer has separate localization. The Undergraduate Teaching Office for Islamic and Middle Eastern Studies is based in 19 George Square. Outside cultures such as the United States look down upon FGC, but are unable to stop this practice from happening because it is protected by its culture. George Square) Further information.

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Sepsis remains one of the most important causes of morbidity and mortality worldwide. After 6 days of hospitalization without fever for the last 48 hours, he was discharged from hospital against medical advice and was. This course focuses on the different dimensions of culture and explains the limitations of these definitions. Ultraviolet Disinfection Guidance Manual for the Final click to find out more.

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Download our mobile app now. They created Boxcarr Farms in 2020. The remainder is used as inoculum for larger cultures (usually 1, 000 mL in 2.8- to 4-L flasks) to be grown for feeding or as an intermediate step in large-scale culture, where they are used as inocula for 20- to 40-L cultures. Ok I have tried 3 of these.

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(29 F) I continue to feel sicker, and sicker, and I feel like I'm at a dead end.

Age: 29 F
Height: 5'6"
Weight: 260lb
I used to walk a lot, sometimes upto 13 miles in a day. I wasn't really fit, but I was healthy. In 2018 I started getting more and more tired, I found it harder and harder to do anything. I got to the point where I actually could barely do anything in a day, and I ended up gaining 60lb in the span of several months.
Around that same time I had worsening lower back pain, and joint pain popping up. I feel just.. generally ill, and I don't know how to describe it. Either towards the end of 2018, or at the start of this year I had a lot of new moles popping up, in fact I believe they still are popping up as I noticed a new one on my shoulder, one on my stomach is the size of a dime if you squished it to an oval shape, and one on my chest has been growing and has an odd shape to it.
I feel constantly bloated in my stomach area, I get sharp pains on the upper left side (which they thought might be heart pain), a bit lower down, and on the right. I have dull right flank pain with moments of very sharp pains, and lately I've had more rare, but pronounced dull pain on the left flank, and maybe one or two instances of sharp pain there.
I have memory problems, I've had muscle spasms, and my ability for fine motor control has been reduced. I find myself having trouble typing (I code so that's kind of a big red flag), using a mouse, writing with a pen, the list goes on.. I've been going to take my meds, and had a spasm that caused me to throw the pill across the room.
I have severe, and crippling migraines, and also pain from my back and neck. I'm always tired, I lost my ability to actually live, and I have nearly no quality of life left. Best of all no one has really been able to explain why to me, or what I can do. I've been left wondering is this just in my head? Am I just a hypochondriac?
I've seen a pain management doctor who looked at the MRI's of my back, and saw that there was damage in my lumbar spine, then turned to me to say "Maybe it's psychosomatic". Was told they would call me to come in at a later date, that never happened.
I've seen a dermatologist who spent all of 10 seconds with me, and looked at the one on my stomach, and the one on my chest, then told me I was fine. At most this first appointment lasted no more than 2 minutes max. No follow up ever made, nor suggested by the doctor.
I've seen a pulmonologist for extreme shortness of breath, and got a very rude experience where I was told it was my weight, really with just him listening. No follow up ever made, nor suggested by the doctor.
I see a cardiologist, and they've looked over my heart extensively, they've not found anything suggesting any issues at all. Just that I have tachycardia. It's gotten to the point of being frustrating going back in every 3 months like they want, when I just get told from a battery of tests my heart is fine.
I see a neurologist who didn't really have much to go off/say, but did confirm, and prescribe meds for my migraines.
I see a hematologist, who I only start seeing as of October 25th of this year. He ordered a lot of tests, and that's all down there. One thing I found odd which he didn't explain, which is there was an order for a Lymphoma/Leukemia panel w/ peripheral blood, blood was drawn, and it was sent to the reference lab to be processed.
The doctor inexplicably called the lab to cancel the test, and during the follow up he said he thinks it's not cancer, while trying to reassure me.
I've seen so many doctors, and all the while as time drags on the only thing that happens is.. I feel worse.
Even right now I have sharp pain in my upper left side abdomen/chest area, and it's not gone away. New pain includes my right hip, which my hematologist suggested may just be arthritis.
My hormone levels are being monitored by my Endocrinologist, and have been within normal range.
I've had a lot of non-specific symptoms, and I just want answers, theories, ideas, anything... Please... I don't know what else to do at this point......
Medications
  • ASPIRIN 81 MG TABLET,DELAYED RELEASE - once a day
  • lamotrigine 100 mg tablet - twice a day
  • Protonix 40 mg tablet,delayed release - once a day
  • Wellbutrin XL 300 mg 24 hr tablet, extended release - once a day
  • Paxil 60 mg - once a day
  • Zofran 4 mg tablet - As needed for severe nausea
  • Fioricet - As needed for migraines
  • propranolol 40 mg tablet - Twice per day
  • Vitamin D3 10,000 IU - Once per day
  • Iron 65 mg - Once per day (Started on November 15 2019, as advised by my Hematologist)
Problems -This is stuff doctors have noted down-
  • IgE-mediated allergic asthma
  • Elevated white blood cell count, unspecified
  • Migraine without aura, not intractable, with status migrainosus
  • Mixed hyperlipidemia
  • Other fatigue
  • Other specified diseases of blood and blood-forming organs
  • Tachycardia
  • Dysuria
  • Nausea
  • Right flank pain
  • History of bloody stools
  • Chronic Pain
  • Chronic midline low back pain without sciatica
  • Vision changes
These are the records I have, I don't have all of them, but this is hopefully a significant chunk.

January 01 2018

MRI BRAIN WITHOUT AND WITH CONTRAST
  • Punctate nonspecific areas of increased signal intensity adjacent to the right sylvian fissure and in the left frontal periventricular white matter, with no evidence of an acute infarct.
  • Otherwise negative MRI scan of the brain with and without intravenous contrast.
  • Inflammatory changes in the mastoid air cells bilaterally, left greater than right, in the frontal, maxillary, sphenoid sinuses and ethmoid air cells bilaterally.
  • Slightly enlarged cervical lymph nodes. Enlarged adenoids.

April 03 2018

CBC (INCLUDES DIFF/PLT)
  • WBC - 7.8 Thousand/uL
  • RBC - 5.17 Million/uL
  • Hgb Blood - 14.7 g/dL
  • Hematocrit - 42.7%
  • MCV - 82.6 fL
  • MCH - 28.4 pg
  • MCHC - 34.4 g/dL
  • RDW - 13.1 %
  • Platelet Count - 357 Thousand/uL
  • MPV - 9.6 fL
  • ABS Neutrophils - 5078 cells/uL - 65.1%
  • ABS Lymphocytes - 1997 cells/uL - 25.6%
  • ABS Monocytes - 577 cells/uL - 7.4%
  • ABS Eosinophils - 101 cells/uL - 1.3%
  • ABS Basophils - 47 cells/uL - 0.6%
THYROID PANEL WITH TSH
  • T3 UPTAKE - 31 %
  • T4 (THYROXINE), TOTAL - 8.9 mcg/dL
  • FREE T4 INDEX (T7) - 2.8
  • TSH - 1.06 mIU/L
ANA SCR,IFA W/REFL TITE PATTERN/LUPUS PNL 1
  • ANA SCREEN, IFA, W/REFL TITER AND PATTERN - Negative
EPSTEIN BARR VIRUS ANTIBODY PANEL
  • EBV VIRAL CAPSID AG (VCA) AB (IGM) - <36.00 u/mL
  • EBV VIRAL CAPSID AG (VCA) AB (IGG) - 78.80 u/mL
  • EBV NUCLEAR AG (EBNA) AB (IGG) - 302.00 u/mL
CYTOMEGALOVIRUS DNA, QN, REAL TIME PCR
  • SOURCE - BLOOD
  • CMV DNA, QN REAL TIME PCR - <200 IU/mL
  • CMV DNA, QN PCR - <2.30 Log IU/mL
HETEROPHILE, MONO SCREEN
  • HETEROPHILE, MONO SCREEN - Negative
RHEUMATOID FACTOR
  • RHEUMATOID FACTOR - <14 IU/mL
FSH
  • FSH - 1.5 mIU/mL
LH
  • LH - 4.5 mIU/mL
T4, FREE
  • T4, FREE - 1.4 ng/dL
PSA, TOTAL
  • PSA - 0.9 ng/mL
VITAMIN B12/FOLATE, SERUM PANEL
  • Vitamin B12 - 339 pg/mL
  • FOLATE, SERUM - 5.5 ng/mL
PROLACTIN
  • PROLACTIN - 7.3 ng/mL
LIPID PANEL
  • CHOLESTEROL, TOTAL - 162 mg/dL
  • HDL CHOLESTEROL - 37 mg/dL
  • TRIGLYCERIDES - 108 mg/dL
  • LDL-CHOLESTEROL - 105 mg/dL (calc)
  • CHOL/HDLC RATIO - 4.4 (calc)
  • NON HDL CHOLESTEROL - 125 mg/dL (calc)
IRON AND TOTAL IRON BINDING CAPACITY
  • IRON, TOTAL - 79 mcg/dL
  • IRON BINDING CAPACITY - 293 mcg/dL (calc)
  • SATURATION - 27 % (calc)
COMPREHENSIVE METABOLIC PANEL
  • GLUCOSE - 95 mg/dL
  • UREA NITROGEN (BUN) - 10 mg/dL
  • CREATININE - 0.79 mg/dL
  • eGFR NON-AFR. AMERICAN - 123 mL/min/1.73m2
  • eGFR AFRICAN AMERICAN - 143 mL/min/1.73m2
  • SODIUM - 138 mmol/L
  • POTASSIUM - 4.7 mmol/L
  • CHLORIDE - 104 mmol/L
  • CARBON DIOXIDE - 24 mmol/L
  • CALCIUM - 9.5 mg/dL
  • PROTEIN, TOTAL - 7.1 g/dL
  • ALBUMIN - 4.7 g/dL
  • GLOBULIN - 2.4 g/dL (calc)
  • ALBUMIN/GLOBULIN RATIO - 2.0 (calc)
  • BILIRUBIN, TOTAL - 0.5 mg/dL
  • ALKALINE PHOSPHATASE - 56 u/L
  • AST - 27 u/L
  • ALT - 33 u/L
URINALYSIS, MICROSCOPIC
  • WBC - 0-5 /HPF
  • RBC - 0-2 /HPF
  • Squamous Epithelial Cells - 0-5 /HPF
  • Bacteria - None Seen
  • Hyaline Casts - 6-10 /LPF

July 10 2018

VITAMIN D,25-OH,TOTAL,IA
  • VITAMIN D,25-OH,TOTAL,IA - 25 ng/mL

September 05 2018

ULTRASOUND ABDOMEN COMPLETE
  • Very Limited sonographic evaluation due to patient body habitus.
  • Cholelithiasis. Very Limited evaluation of gallbladder wall. If clinically warranted, CT of the abdomen and pelvis may be obtained for further evaluation.
  • Heterogeneity of hepatic echotexture which can be seen in setting of hepatic steatosis/hepatocellular disease. Liver is borderline in size.

September 06 2018

CBC (H/H, RBC, INDICES, WBC, PLT)
  • WBC - 11.7 thousand/uL
  • RBC - 4.97 million/uL
  • Hgb Blood - 14.1 gm/dL
  • HEMATOCRIT - 40.7 %
  • MCV - 82 fL
  • MCH - 28.4 pg
  • MCHC - 34.6 gm/dL
  • RDW - 13.7 %
  • Platelet Count - 410 thousand/uL
  • MPV - 7.3 fL
  • ABS Neutrophils - 7.4 thousand/uL - 63.1%
  • ABS Lymphocytes - 3.3 thousand/uL - 28.5%
  • ABS Monocytes - 0.8 thousand/uL - 6.5%
  • ABS Eosinophils - 0.20 thousand/uL - 1.6%
  • ABS Basophils - 0.00 thousand/uL - 0.3%
COMPREHENSIVE METABOLIC PANEL
  • GLUCOSE - 86 mg/dL
  • UREA NITROGEN (BUN) - 10 mg/dL
  • CREATININE - 0.85 mg/dL
  • eGFR NON-AFR. AMERICAN - 118 mL/min/1.73m2
  • SODIUM - 138 mmol/L
  • POTASSIUM - 3.8 mmol/L
  • CHLORIDE - 101 mmol/L
  • CARBON DIOXIDE - 24 mmol/L
  • CALCIUM - 9.3 mg/dL
  • PROTEIN, TOTAL - 7.7 g/dL
  • ALBUMIN - 4.5 g/dL
  • GLOBULIN - 3.2 g/dL (calc)
  • ALBUMIN/GLOBULIN RATIO - 1.4 (calc)
  • BILIRUBIN, TOTAL - 0.4 mg/dL
  • Alkphos - 69 IU/L
  • Lipase - 44 IU/L
  • AST - 23 u/L
  • ALT - 31 u/L
URINALYSIS, MICROSCOPIC
  • COLOR - YELLOW
  • APPEARANCE - CLEAR
  • SPECIFIC GRAVITY - 1.022
  • PH - 6.0
  • GLUCOSE - NEGATIVE
  • BILIRUBIN - NEGATIVE
  • KETONES - TRACE
  • OCCULT BLOOD - NEGATIVE
  • PROTEIN - TRACE
  • NITRITE - NEGATIVE
  • LEUKOCYTE ESTERASE - NEGATIVE
  • WBC - <1 /HPF
  • RBC - <1 /HPF
  • Urobilinogen - 1+
  • Urine Culture if Indicated - No
ABDOMEN ULTRASOUND
  • LIVER: Normal. Normal size and echotexture. No significant masses.
  • BILIARY: Gallbladder is not well distended. No cholelithiasis seen.
  • CBD: The common bile duct measures 4 mm.
  • PANCREAS: Pancreas obscured by gas shadowing.
  • RT KIDNEY: Measures 10.9 x 5.4 x 6.3 cm. Normal renal corticomedullary echogenicity. No mass or hydronephrosis.
  • AORTA: Normal. No aneurysm.
CHEST X-RAY 4 VIEWS
  • BONES: Normal. No significant arthropathy or acute abnormality.
  • SOFT TISSUES: Negative. No visible soft tissue swelling.
  • LUNGS: Normal. No significant pulmonary parenchymal abnormalities.
  • VASCULATURE: Normal. Unremarkable pulmonary vasculature.
  • CARDIAC: Normal. No cardiac silhouette abnormality or cardiomegaly.
  • MEDIASTINUM: Normal. No visible mass or adenopathy.

October 04 2018

CBC (H/H, RBC, INDICES, WBC, PLT)
  • WBC - 14.2 thousand/uL
  • RBC - 5.15 million/uL
  • Hgb Blood - 14.5 gm/dL
  • HEMATOCRIT - 42.2 %
  • MCV - 82 fL
  • MCH - 28.1 pg
  • MCHC - 34.2 gm/dL
  • RDW - 13.6 %
  • Platelet Count - 394 thousand/uL
  • MPV - 7.3 fL
  • ABS Neutrophils - 10.7 thousand/uL - 75.3%
  • ABS Lymphocytes - 2.3 thousand/uL - 16.5%
  • ABS Monocytes - 0.9 thousand/uL - 6.6%
  • ABS Eosinophils - 0.10 thousand/uL - 1.0%
  • ABS Basophils - 0.10 thousand/uL - 0.6%
COMPREHENSIVE METABOLIC PANEL
  • GLUCOSE - 99 mg/dL
  • UREA NITROGEN (BUN) - 8 mg/dL
  • CREATININE - 0.93 mg/dL
  • eGFR NON-AFR. AMERICAN - 111 mL/min/1.73m2
  • SODIUM - 136 mmol/L
  • POTASSIUM - 4.1 mmol/L
  • CHLORIDE - 99 mmol/L
  • CARBON DIOXIDE - 26 mmol/L
  • CALCIUM - 10.0 mg/dL
  • PROTEIN, TOTAL - 8.0 g/dL
  • ALBUMIN - 4.8 g/dL
  • GLOBULIN - 3.2 g/dL (calc)
  • ALBUMIN/GLOBULIN RATIO - 1.5 (calc)
  • BILIRUBIN, TOTAL - 0.7 mg/dL
  • Alkphos - 76 IU/L
  • Lipase - 20 IU/L
  • AST - 15 u/L
  • ALT - 17 u/L
CT Abdomen+Pelvis wo IV Con
  • LOWER CHEST: Mild linear atelectasis in the lingula.
  • LIVER: Punctate calcified granuloma near the dome.
  • BILIARY: Small gallstone near gallbladder neck without other evidence ofacute cholecystitis.
  • PANCREAS: Mild diffuse fatty atrophy.
  • SPLEEN: Normal attenuation and morphology.
  • KIDNEYS: No exophytic renal mass, calculus or hydronephrosis.
  • ADRENALS: Normal attenuation and morphology.
  • AORTA/IVC: Normal. No aneurysm.
  • ABD CAVITY: No obstruction, focal bowel wall thickening or inflammatory
  • changes. No mass or adenopathy. Normal appendix.
  • ABDOMINAL WALL: No mass or hernia.
  • URINARY BLADDER: No visible focal wall thickening, lesion, or calculus.
  • PELVIS: Pelvic organs appropriate for age. No mass or lymphadenopathy.
  • BONES: No bony lesion or fracture.

April 25 2019

HELICOBACTER PYLORI, UREA BREATH TEST

  • HELICOBACTER PYLORI, UREA BREATH - Negative
VITAMIN D,25-OH,TOTAL,IA
  • VITAMIN D,25-OH,TOTAL,IA - 27 ng/mL
T4, Free
  • TSH W/REFLEX TO FT4 - 0.80 mIU/L
CBC (H/H, RBC, INDICES, WBC, PLT)
  • WBC - 13.2 Thousand/uL
  • RBC - 4.90 Million/uL
  • Hgb Blood - 13.9 g/dL
  • HEMATOCRIT - 41.5 %
  • MCV - 84.7 fL
  • MCH - 28.4 pg
  • MCHC - 33.5 g/dL
  • RDW - 13.0 %
  • Platelet Count - 460 Thousand/uL *Start 81MG Aspirin\*
  • MPV - 8.6 fL
LIPID PANEL, STANDARD
  • CHOLESTEROL, TOTAL - 219 mg/dL
  • HDL CHOLESTEROL - 36 mg/dL
  • TRIGLYCERIDES - 193 mg/dL
  • LDL-CHOLESTEROL - 150 mg/dL (calc)
  • CHOL/HDLC RATIO - 6.1 (calc)
  • NON HDL CHOLESTEROL - 183 mg/dL (calc)
COMPREHENSIVE METABOLIC PANEL
  • GLUCOSE - 86 mg/dL
  • UREA NITROGEN (BUN) - 8 mg/dL
  • CREATININE - 0.85 mg/dL
  • eGFR NON-AFR. AMERICAN - 119 mL/min/1.73m2
  • SODIUM - 138 mmol/L
  • POTASSIUM - 4.7 mmol/L
  • CHLORIDE - 100 mmol/L
  • CARBON DIOXIDE - 26 mmol/L
  • CALCIUM - 9.4 mg/dL
  • PROTEIN, TOTAL - 7.2 g/dL
  • ALBUMIN - 4.3 g/dL
  • GLOBULIN - 2.9 g/dL (calc)
  • ALBUMIN/GLOBULIN RATIO - 1.5 (calc)
  • BILIRUBIN, TOTAL - 0.4 mg/dL
  • ALKALINE PHOSPHATASE - 88 u/L
  • AST - 16 u/L
  • ALT - 21 u/L

August 12 2019

CT ABDOMEN AND PELVIS WITHOUT AND WITH CONTRAST
  • Mild diffuse fatty replacement in the liver but no superimposed focal hepatic defects.
  • Calcified gallstone.
  • 8 mm hypodense lesion in the lower pole of the right kidney.
  • Small hiatal hernia.
  • Small mesenteric, retroperitoneal and inguinal lymph nodes present.

September 19 2019

  • CBC (H/H, RBC, INDICES, WBC, PLT)
  • WBC - 11.3 Thousand/uL
  • RBC - 5.12 Million/uL
  • Hgb Blood - 14.0 g/dL
  • HEMATOCRIT - 42 %
  • MCV - 82 fL
  • MCH - 27.3 pg
  • MCHC - 33.3 g/dL
  • RDW - 13.3 %
  • Platelet Count - 428 Thousand/uL *With 81mg Aspirin Daily\*
  • MPV - 9.1 fL
COMPREHENSIVE METABOLIC PANEL
  • GLUCOSE - 98 mg/dL
  • UREA NITROGEN (BUN) - 10 mg/dL
  • CREATININE - 1.09 mg/dL
  • eGFR NON-AFR. AMERICAN - 91 mL/min/1.73m2
  • SODIUM - 137 mmol/L
  • POTASSIUM - 4.3 mmol/L
  • CHLORIDE - 100 mmol/L
  • CARBON DIOXIDE - 27 mmol/L
  • CALCIUM - 9.6 mg/dL
  • PROTEIN, TOTAL - 7.4 g/dL
  • ALBUMIN - 4.7 g/dL
  • GLOBULIN - 2.7 g/dL (calc)
  • ALBUMIN/GLOBULIN RATIO - 1.7 (calc)
  • BILIRUBIN, TOTAL - 0.3 mg/dL
  • ALKALINE PHOSPHATASE - 89 u/L
  • AST - 13 u/L
  • ALT - 12 u/L
HEMOGLOBIN A1c
  • HEMOGLOBIN A1c - 5.1 % of total Hgb
URINALYSIS, COMPLETE W/REFLEX TO CULTURE
  • COLOR - DARK YELLOW
  • APPEARANCE - CLEAR
  • SPECIFIC GRAVITY - 1.026
  • PH - 6.0
  • GLUCOSE - NEGATIVE
  • BILIRUBIN - NEGATIVE
  • KETONES - TRACE
  • OCCULT BLOOD - NEGATIVE
  • PROTEIN - +1
  • NITRITE - NEGATIVE
  • LEUKOCYTE ESTERASE - NEGATIVE
  • WBC - 6-10 /HPF
  • RBC - 0-2 /HPF
  • SQUAMOUS EPITHELIAL CELLS - 0-5 /HPF
  • BACTERIA - NONE SEEN
  • HYALINE CAST - 0-5 /LPF
REFLEXIVE URINE CULTURE
  • CULTURE, URINE, ROUTINE
  • TEST STATUS: FINAL
  • SPECIMEN SOURCE: URINE
  • SPECIMEN QUALITY: ADEQUATE
  • RESULT: No Growth

October 25 2019

CBC (H/H, RBC, INDICES, WBC, PLT)
  • WBC - 10.7 Thousand/uL
  • RBC - 4.84 Million/uL
  • Hgb Blood - 13.4 g/dL
  • HEMATOCRIT - 39.6 %
  • MCV - 81.8 FL
  • MCH - 27.0 pg
  • MCHC - 33.8 g/dL
  • RDW - 13.4 %
  • MPV - 9.4 fL
  • Platelet Count - 415 Thousand/uL *With 81mg Aspirin Daily\*
  • Granulocytes / Bands - Blood - 7.08 10^3/ul - 66.1%
  • ABS Lymphocytes - 2.74 10^3/ul - 25.6%
  • ABS Monocytes - 0.62 10^3/ul- 5.8%
  • ABS Eosinophils - 0.16 10^3/ul- 1.5%
  • ABS Basophils - 0.04 10^3/ul - 0.4%
  • Immature Granulocyte - 0.06 10^3/ul - 0.6%
  • Platelets - Immature Fraction - 0.00%
  • Nucleated Erythrocytes - 0.00 #/100WBC
  • NRBC (Abs) - 0.00 10^6/ul

PT / INR
  • PT - 10.4 SEC
  • INR - 1.0 RATIO

PTT
  • PTT - 25.6 SEC

PFA (Platelet Function Test)
  • Collagen/Epi Closure Time - 168 sec
Iron Panel
  • Iron - Serum - 52 ug/dL
  • Transferrin - 189 mg/dL
  • Iron - Saturation - 20%
  • Iron Binding Capacity (TIBC) - 265 ug/dL
  • Ferritin (DPC) - 220 ng/mL

COMPREHENSIVE METABOLIC PANEL
  • Sodium - Blood - 133 mEq/L
  • Potassium - Blood - 3.9 mEq/L
  • Chloride - Blood - 98 mEq/L
  • Carbon Dioxide (Total) - Serum - 29 mEq/L
  • Glucose - Blood (Random) - 87 mg/dL
  • Urea Nitrogen - Serum (BUN) - 9 mg/dL
  • Creatinine - Serum - 0.9 mg/dL
  • BUN/Creatinine Ratio - 10.0 CALC
  • GFR Non-African-American - >60 mL/min
  • Calcium - Serum - 9.5 mg/dL
  • Bilirubin, Total - 0.3 mg/dL
  • Protein (Total) - Serum - 7.2 g/dL
  • Albumin - Serum - 4.8 g/dL
  • Globulin - 2.4 g/dL
  • A/G Ratio - 2.0 CALC
  • AST (SGOT) - 19 u/L
  • ALT (SGPT) - 22 u/L
  • Alkaline Phosphatase - 82 IU/L
  • LDH (Total) - Serum - 179 u/L
  • Uric Acid - Serum - 5.9 mg/dL
  • Magnesium - Serum - 2.1 mg/dL

Folate
  • Folic Acid - Serum - 11.90 ng/mL

T4, Free
  • Thyroxine Free 0.8 ng/dL

TSH (DPC)
  • TSH (DPC) - 1.770 uIU/ml
VITAMIN B12/FOLATE, SERUM PANEL
  • Vitamin B12 - 264 pg/mL
FSH & LH
  • FSH - Serum - 2.9 mIU/mL
  • Luteinizing Hormone - Serum - 2.6 mIU/mL

ESR (Westergren)
  • ESR (Westergren) - 22 mm/h

RHEUMATOID FACTOR
  • RHEUMATOID FACTOR - <14 IU/mL

Platelet Ab, Direct, Flow Cyt
  • Platelet Antibody (Direct) - NEGATIVE

Platelet Abs, Indirect (Circ)
  • Platelet Circulating IgG - NEGATIVE
  • Platelet Circulating IgM - NEGATIVE
  • Platelet Circulating IgA - NEGATIVE
ANA SCR,IFA W/REFL TITE PATTERN/LUPUS PNL 1
  • ANA SCREEN, IFA, W/REFL TITER AND PATTERN - Negative
Cortisol, Total
  • Cortisol - Serum - 9.5 mcg/dL

URINALYSIS, COMPLETE W/REFLEX TO CULTURE
  • COLOR - YELLOW
  • APPEARANCE - CLEAR
  • SPECIFIC GRAVITY - 1.015
  • PH - 6.0
  • Leukocytes (Qual) - NEGATIVE
  • Nitrites (Qual.) - NEGATIVE
  • Occult Blood - NEGATIVE
  • Protein (Qual.) - NEGATIVE
  • Glucose - NEGATIVE
  • Ketones - NEGATIVE
  • Bilirubin - NEGATIVE
  • Urobilinogen - Urine (Quant) - 0.2 Units/dL
  • WBC T - 0-2 / hpf
  • RBC T - 0-2 / hpf
  • Bacteria - RARE
  • Squam Epith T - FEW
  • Mucous - FEW
  • Casts T RARE GRANULAR
REFLEXIVE URINE CULTURE
  • CULTURE, URINE, ROUTINE
  • TEST STATUS: FINAL
  • SPECIMEN SOURCE: URINE
  • SPECIMEN QUALITY: ADEQUATE
  • RESULT: No Growth

November 12 2019

CBC (H/H, RBC, INDICES, WBC, PLT)
  • WBC - 10.9 Thousand/uL
  • RBC - 4.65 Million/uL
  • Hgb Blood - 13.0 g/dL
  • HEMATOCRIT - 38.4 %
  • MCH - 28.0 pg
  • MCHC - 33.9 g/dL
  • RDW - 13.9 %
  • MPV - 9.4 fL
  • ABS Neutrophils - 7.4 10^3/ul - 68.4%
  • ABS Lymphocytes - 2.5 10^3/ul - 22.5%
  • ABS Monocytes - 0.70 10^3/ul- 6.4%
  • ABS Eosinophils - 0.20 10^3/ul- 1.6%
  • ABS Basophils - 0.03 10^3/ul - 0.5%
  • Immature Granulocyte - 0.06 10^3/ul - 0.6%
  • Platelets - Immature Fraction - 0.00%
  • Nucleated Erythrocytes - 0.00 #/100WBC

November 17 2019 ER Visit

CBC (H/H, RBC, INDICES, WBC, PLT)
  • WBC - 16.0 Thousand/uL
  • RBC - 5.05 Million/uL
  • Hgb Blood - 13.9 g/dL
  • HEMATOCRIT - 41 %
  • MCV - 81 fL
  • MCH - 27.5 pg
  • MCHC - 33.9 g/dL
  • RDW - 13.8 %
  • Platelet Count - 463 Thousand/uL *With 81mg Aspirin Daily\*
  • MPV - 6.5 fL
  • ABS Neutrophils - 11.7 thousand/uL - 73.4%
  • ABS Lymphocytes - 2.9 thousand/uL - 18.3%
  • ABS Monocytes - 1.0 thousand/uL - 6.2%
  • ABS Eosinophils - 0.30 thousand/uL - 1.6%
  • ABS Basophils - 0.10 thousand/uL - 0.5%
COMPREHENSIVE METABOLIC PANEL
  • GLUCOSE - 98 mg/dL
  • UREA NITROGEN (BUN) - 10 mg/dL
  • CREATININE - 0.91 mg/dL
  • eGFR NON-AFR. AMERICAN - 113 mL/min/1.73m2
  • SODIUM - 138 mmol/L
  • POTASSIUM - 4.3 mmol/L
  • CHLORIDE - 101 mmol/L
  • CARBON DIOXIDE - 27 mmol/L
  • CALCIUM - 9.6 mg/dL
  • PROTEIN, TOTAL - 8.0 g/dL
  • ALBUMIN - 4.7 g/dL
  • GLOBULIN - 3.3 g/dL (calc)
  • ALBUMIN/GLOBULIN RATIO - 1.4 (calc)
  • BILIRUBIN, TOTAL - 0.3 mg/dL
  • Alkphos - 92 u/L
  • Lipase - 32 u/L
  • AST - 17 u/L
  • ALT - 24 u/L
URINALYSIS, MICROSCOPIC
  • COLOR - YELLOW
  • APPEARANCE - CLEAR
  • SPECIFIC GRAVITY - >1.050
  • PH - 6.5
  • GLUCOSE - NEGATIVE
  • BILIRUBIN - NEGATIVE
  • KETONES - NEGATIVE
  • OCCULT BLOOD - NEGATIVE
  • PROTEIN - TRACE
  • NITRITE - NEGATIVE
  • LEUKOCYTE ESTERASE - NEGATIVE
CT Abdomen+Pelvis w IV Con
  • FINDINGS:
  • LOWER CHEST: Normal. No visible pulmonary or pleural disease.
  • LIVER: Normal. No enlargement, atrophy, abnormal density, or significantfocal lesion.
  • BILIARY: Cholelithiasis.
  • PANCREAS: Normal. No lesion, fluid collection, ductal dilatation, oratrophy.
  • SPLEEN: Enlarged measuring 14.6 cm.
  • KIDNEYS: No obstructive uropathy. Sub cm hypo attenuating lesion lowerpole right kidney, probably small cysts. Too small to furthercharacterize.
  • ADRENALS: Normal. No mass or enlargement.
  • AORTA/IVC: Normal. No aneurysm or dissection.
  • ABD CAVITY: Constipation. Mild rectal fecal impaction. No small bowel
  • obstruction. Normal appendix.
  • ABD WALL: Normal. No mass or hernia.
  • BLADDER: Normal. No visible focal wall thickening, lesion, or calculus.
  • PELVIS: Normal. No adenopathy or mass. Pelvic organs appropriate for age.
  • BONES: No acute.
  • OTHER: Negative.
  • CONCLUSION:1. Constipation with mild rectal fecal impaction.2. Cholelithiasis.3. Splenomegaly.4. Probable cyst lower pole right kidney. Consider followup ultrasound.
submitted by AmadeaBW to askdoctors

06-16 18:35 - '1. got a couple more 2. every nation has done evil / 3. Eskimo. / but for real, the massive irony in an eskimo being for multiculturalism is baffling, the advent of the europeans destroyed much of your culture and peo...' by /u/ragingnihilist77 removed from /r/worldnews within 6-16min

'''
  1. got a couple more
  2. every nation has done evil
  3. Eskimo.
but for real, the massive irony in an eskimo being for multiculturalism is baffling, the advent of the europeans destroyed much of your culture and people yet you still cling to the idea of multiculturalism? What the europeans did to your people will now happen to Europe and other white nations, except unlike the eskimos we are inviting the enemy within our borders.
Embrace your heritage and culture brother, it is the land of your people by right of blood and soil nationalist europeans fully support your claims to your land—but dont look with scorn upon us for applying this same policy to the nations of europe and her offshoots.
All men are brothers, although I may seem hostile towards the Inuit, I admire their hardiness and that they still have a rich culture. I wish that my nation too will go back to it’s roots.
'''
Context Link
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Author: ragingnihilist77
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