Question 1

What is the difference between haemogram and CBC?

Question 2

Hi doctor, in March 2021 I fell on my knee while playing sports. I waited for 3 months and still had some pain, so I visited an orthopedic in June. Without any lab test for vitamin D, the orthopedic prescribed 60000 IU syrup per day for 11 continuous days. This led to a vitamin D level of 120 ng/ml. It has been 5 months and I still have several symptoms from July until now. I have a feeling of my head shaking, headaches, hand tremors, eye twitching, knee and muscle pains, chest tightness, difficulty in breathing, twitching like tremor all over the body, weakness, and very hot urine. My serum calcium level has been between 10.5 and 11 mg/dl for the past 5 months, now 11 mg/dl. Vitamin D now is 46 ng/ml. Parathyroid hormone (PTH) is 75.67 pg/ml. Uric acid has been between 9.6 and 7 mg/dl, now 7 mg/dl. Creatinine is 0.9 mg/dl. Vitamin B12 is 196 pg/ml. Thyroid: T3 is 0.85 ng/ml, T4 is 6.88 ug/dl, TSH is 3.82 uIU/ml. Blood pH is 8.6. Magnesium is 1.6 mg/dl. What could be the cause of these ongoing symptoms and what should I do?

Question 3

Please see the attached picture of my white tongue. I had oral sex and took HIV ELISA and CMIA tests at 5 weeks, 5 months, and 24 weeks after exposure, all were negative. However, I still have a white coating on my tongue (which I can scrape off in the morning while brushing) and occasional joint pain. I read on the internet that these could be symptoms of HIV, and I have been very worried for months. Are my test results conclusive, or do I need further testing?

A B12 level of 890 is not toxic, but if no deficiency symptoms are present, supplementation may be paused. Genetics could be involved. Consider a thyroid and iron panel for further assessment.

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What is the difference between haemogram and CBC?