Conversation: The conversation between human and AI assistant.
[|Human|] My Son age is 16. Taken him to doctor due to weakness and pale skin symptoms. He under gone the following tests. Initially when we met Cardiologist. 1.reticulocyte count 2.compete urine study 3.CBS+P/S+R.C.Count+ESR 4.blood glucose fasting.sugar 5.Electroltes (Na&K) Both 6.UREA 7.creatine 8.ECG 9.2D echo 10.Vacutainer charges 11.P/S Result from Tests: All are ok except Hemoglobin found 5.7 gm /dl Cardiologist refered to General Physician He suggested 1.Stool occult blod analysis 2.liver function (all 6 types of tests) 3.LDH 4.Vacutainer charges 5.IRON/UIBC/,Ferritin 6.Direct coombs 7.Indirect coombs Result: All are OK Except LDH levelis 2275 IU/L. All above took one week time (from 24.10.14 to 30.10.14) What is the test or treatment you recommend for above patient.Please suggest. Thanks, Prasad.
[|AI|]  After going through all details, I could summarize that your son has severe anemia and very high LDH level!THE FEATURE SUGGEST SEVERE HEMOLYTIC ANEMIA BUT SOME OTHER TEST REPORTS ARE NOT CORRELATING HERE; Few other values like reticulocyte count, P/S results and COMBS TEST SHOULD BE ABNORMAL. Therefore, I would like to suggest you to see a hematologist urgently; could be some rare variant or repeat CBC from some better lab!regards,