Your Health Check Results: Key Questions Answered - Family Medicine

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Questions Regarding Health Checkup Results


The health check results from the Harvard Health Center 10 days ago are as follows: 1.
Abnormal white blood cell differential - Suspected inflammation or infection in the body; please retest, and if necessary, consult a hematology specialist for further evaluation.
2.
Negative result for Hepatitis B surface antigen - Please conduct an antibody test to determine if vaccination is needed.
I have heard that any cold can indicate inflammation or infection in the body.
Recently, I have experienced inflammation in my eyes due to wearing contact lenses; could this also affect the test results? Additionally, I have never had the antigen, and I was vaccinated in 1993, after which antibodies were produced.
Should I still get tested now? Based on the above, do I need further examinations? If so, which department should I consult? Thank you.

vanessa, 30~39 year old female. Ask Date: 2006/03/22

Dr. Xu Li'an reply Family Medicine


Dear Vanessa,
Abnormal white blood cell differentiation is usually indicative of an infection or simply a cold, and there is no immediate need to consult a hematologist.
Since you have already been vaccinated against Hepatitis B and have tested positive for antibodies, there is no need for repeat testing.
If you still have concerns, please bring the written report from the Harvard Health Check Center to a family medicine clinic, where a family medicine specialist can explain the results and arrange any necessary follow-up tests.
Wishing you all the best,
Hsu Li-An
9503231426
Shuhua Family Medicine

Reply Date: 2006/03/22

More Info


Understanding your health check results can be a daunting task, especially when faced with medical jargon and abnormal values. Based on the information provided, let's break down the key findings and what they may indicate about your health.

1. White Blood Cell Count (WBC): An elevated WBC count, as indicated in your results, often suggests that your body is fighting an infection or inflammation. This could be due to a variety of reasons, including a recent illness, stress, or even a response to allergens. Given that you mentioned experiencing eye inflammation from wearing contact lenses, it is plausible that this could contribute to the elevated WBC count. However, it is advisable to follow up with a healthcare provider, particularly a hematologist, for further evaluation. They may recommend a complete blood count (CBC) with differential to assess the specific types of white blood cells that are elevated, which can provide more insight into the nature of the inflammation or infection.

2. Hepatitis B Antigen Test: The negative result for the Hepatitis B surface antigen indicates that you are not currently infected with the virus. However, since you have a history of vaccination and are unsure about your antibody status, it is prudent to check for Hepatitis B surface antibodies (anti-HBs). This will confirm whether you have adequate immunity from the vaccine. If your antibody levels are low or absent, a booster vaccination may be recommended to ensure you are protected against Hepatitis B.

3. Impact of Recent Illness on Test Results: It is important to note that any recent illness, including something as common as a cold or localized inflammation (like your eye issue), can potentially affect your blood test results. Inflammatory processes can lead to changes in your WBC count and other parameters. Therefore, if your symptoms were present during the time of testing, it could indeed influence the findings.

4. Further Testing Recommendations: Given the elevated WBC count and your concerns regarding the Hepatitis B vaccination, it would be wise to schedule a follow-up appointment with a primary care physician or an infectious disease specialist. They can provide a comprehensive evaluation, including further blood tests if necessary, and discuss your vaccination history in detail. If your eye inflammation persists or worsens, an ophthalmologist may also be consulted to address any underlying issues related to your vision and eye health.

5. General Health Monitoring: Regular health check-ups are essential for monitoring your overall health, especially if you have any pre-existing conditions or risk factors. It is also beneficial to maintain a healthy lifestyle, including a balanced diet, regular exercise, and adequate hydration, which can support your immune system and overall well-being.

In summary, while some of your test results may indicate areas of concern, they also provide an opportunity for further investigation and management. It is crucial to communicate openly with your healthcare provider about your symptoms and any recent health issues to ensure a thorough evaluation and appropriate care.

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