If child looks that good, why get lab? Now you're stuck trying to explain the CRP. And you're going to eventually, ignore the CRP and send home. So why do labs?
>From: don zweig <[log in to unmask]>
>Sent: Jan 12, 2011 9:04 PM
>To: [log in to unmask]
>How do you use the crp in evaluating kids? How do you interpret a high crp with low sed rate. I had a 8 yo with headache, decreased appetite and dizziness. No nvd. Neg pmh. Vitals normal with t=37.4 oral. min cough. no dysuria. Labs show normal wbc and diff, noraml chem7, lft, cxr. Very healthy appearing with large tonsils that are not inflamed. no nodes. supple neck. crp ws 38. i was hoping for normal. urine showed 80 red cells, 4 wbc, no back and 39 epith cells. no abd or flank pain.
>Should i go with my impressing that she is well. I did labs because mother was concerned, child seemed to be usually healthy and not a complainer.. Was shooting for reassurance. did not image brain or tap.
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