Table 1 Patient’s clinical course and lab evaluation
Date | Pertinent labs | Units | Reference range |
|---|---|---|---|
16 February 2021 Patient sees endocrinologist, and is referred to Pediatric gastroenterology for abdominal symptoms | HA1c 7.8 | % | 4.2–6.0 |
Thyroid Stimulating Hormone 2.360 | mcIU/mL | 0.27–4.2 | |
Free Thyroxine 1.20 | ng/dL | 0.93–1.7 | |
Iron panel | |||
Iron 59 | mcg/dL | 37–145 | |
Total Iron Binding Capacity 368 | mcg/dL | 228–428 | |
Iron Saturation 16.1 | % | 15–50 | |
Ferritin 46 | ng/mL | 13–150 | |
Complete blood count | |||
White Blood Cells 7.4 | X10^3/mcL | 4.2–9.4 | |
Red Blood Cells 4.39 | X10^6/mcL | 4.0–5.0 | |
Hemoglobin 12.3 | g/dL | 11.9–15.3 | |
Platelets 394 | X10^3/mcL | 170–388 | |
02 March 2021 Patient sees gastroenterologist and is scheduled for upper endoscopy and colonoscopy on 09March2021 | Celiac Panel | ||
Total serum IgA < 6.7 | mg/dL | 44–461 | |
30 March 2021 Patient returns to gastroenterologist, diagnosis of Autoimmune Gastritis is discussed 05 April 2021 Patient started on Vitamin B12 therapy Complimentary battlefield acupuncture is implemented to relieve remaining symptoms | Vitamin B12 (Cobalamin) 428.9 | pg/mL | 232–1245 |
Folate 10.58 | ng/mL | 4.6–34.8 | |
Complete blood count | |||
White Blood Cells 6.8 | X10^3/mcL | 4.2–9.4 | |
Red Blood Cells 4.54 | X10^6/mcL | 4.0–5.0 | |
Hemoglobin 12.7 | g/dL | 11.9–15.3 | |
Platelets 412 | X10^3/mcL | 170–388 | |
Intrinsic Factor Antibody 1.0 | AU/mL | 0.0–1.1 | |
Parietal Cell Ab 104.1 | Units | 0.0–20.0 | |
Gastrin 1680 | pg/mL | 0–115 | |
Fecal Calprotectin 110 | mcg/g | 0–120 |