<s>[INST] I HAVE LUPUS, AND JUST HAD BLOOD WORK DONE.  MY DR SAID EVERYTHING WAS OK.  I TOOK  A COPY OF THE BLOOD WORK HOME.  AFTER I READ THE REPORT, I DON'T THINK EVERYTHING IS OKAY.  MY WHITE CELL COUNT WAS HIGH (12.9, MY PLATELET COUNT HIGH (18.1) ABSOLUTE NEUTROPHILS HIGH (10243), BUN/CRBATININE RATIO HIGH (31), UREA NITROGEN (BUN) HIGH (39), CREATINE RATIO HIGH (31) BESIDES WHAT WAS LOW. DOES THIS SEEM NORMAL TO YOU, PLEASE HELP [/INST] Hi,Thank you for your query. I can understand your concerns.i think you are having Lupus nephritis. There is also possibility of urinary tract infection,which is not uncommon in SLE, as your white cell count is high with high absolute neutrophil count. High platelet count can be explained by acute phase reaction. i will like to know your Blood pressure also.you will require the following investigationsroutine urine analysis (particularly for proteinuria (may be in nephrotic range), hematuria, RBC casts)24 hours urinary protein estimationurine culture and sensitivity testsyou can undergo these tests and visit your doctor or consult your doctor for advice at the earliest.Regards Dr. T.K. Biswas M.D.Mumbai </s>