Elevated ESR- 80 - 90 - Significance

A 45 years,old female with generalised body aches . Her whole body blood profile was done All investigations were normal Her ESR was persistently raised . Repeated again and again .It is 87 mm at the end of Ist hour . Her rheumatoid factor is negative CRP is normal X - ray chest and ultrasound abdomen is near normal except post cholecystectomy mild dilatation of CBD , fatty liver. What else can be done to evaluate persistently raised ESR Opinions welcomed


High ESR all time suggestive of chronic inflammation of body either specific or non specific RA factor negative serological test may be done even if comes as negative it may be sero negative type. Other than rheumatiod other chronic specific infection like tuberculosis can be evaluated SLE Malignancy like lymphoma, multiple myeloma.

Thanks dr Asif Ansari

Adv ecg 2decho to r/o Rheumatic heart disease 2 extrapulmonary tuberculosis like GUT or genital infection

रोगी यकृतशोथ से पीड़ित है। चिकित्सा संबंधी योग,,,, यकृत दारी लौह 4 रत्ती ताप्तयादि लौह 4 रत्ती शहद में मिलाकर सुबह-शाम सेवन कराएं। उपर से ताजा गिलोय का काढ़ा बनाकर पीने से लाभ होगा। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

Respected sir ESR increase means any chronic disease & inflammation may be Bone & specially KUB system & may be tubercular & if HB is low then ESR will increase. You should have to go also for any lympadenitis

Chronic PID ?? SERO NEGATIVE RA?? start oflox 200bd for 7 days Tab. Voveran 50mg bd Ashokarishta 2tsp bd

Lipid profile Nd uric acid..?

MRCP to evaluate biliary tree,any periampullary pathology,may need ERCP for further evaluation.

It can be only viral

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