Conversation: The conversation between human and AI assistant.
[|Human|] My wife has had very high blood pressure and meds did not reduce it. Has also found that white cells 10X higher than normal. Ecg was fine and she feels well. She just finished a course of rabies shots could this affect these readings?Thanks Gordon Allison
[|AI|]  Hi thanks for asking question in Chat Doctor.Here is your ECG normal ...so no cardiac cause present.... Rabies vaccine not affect WBC count to such an extent ...... Here you have not mentioned value of WBC count.... Detailed peripheral smear examination needed to differentiate leukemia reaction from leukemia..... Take blood in EDTA and send to path lab for PS examination.... According to report further treatment guided... And yes for hypertension also rule out....-renal causes -psychological causes -endocrine disorders For these detail history with investigation needed ... Ex...for renal causes, urine examination and USG done.... Keeping these in mind consult cardiologist... Take care .... Chat Doctor.