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What Causes Upper Right Abdominal Pain Radiating To The Back?
Question: Hello I am 57 years old I have been having a pressure like pain in my upper right quadrant below my ribs radiating to my back. I comes and goes I can get some relief from lying on my right side when sleeping. What can this bee I went to VA and they did a ultra sound of liver ,Gallblader did XXXXXXX in billinary tree and put a hormon to make by gallbladder empty thet stated nothing wrong .
It causes bloating and is tender to touch on a scale of 0-10 pain its a 2
It causes bloating and is tender to touch on a scale of 0-10 pain its a 2
Brief Answer:
Pancreas, stones in bile ducts or urinary tract infection.
Detailed Answer:
Hello!
Thank you for the query.
Upper right abdominal pain radiating to the back is a very characteristic symptom of gallstones in the gallbladder or bile ducts. Stone in the bile ducts can be sometimes missed in the ultrasound.
Have you had any blood work done (especially AST,ALT, GGTP, AP, bilirubin levels - this enzymes should be elevated in case of bile ducts issues)?
Similar to bile gallstones pain can be present with pancreas inflammation. This is possible if you have bee drinking for a long time. It could cause chronic pancreas inflammation. With this issues you may have also fatty diarrhea and weight loss.
Another issue which can cause such symptoms is urinary tract infection. Especially when the kidney is affected pain tends to radiate to the back. Frequent urinating, burning while urinating should be also present.
I suggest you to have mentioned blood work done along with urine analysis. For pancreas diagnostics, abdominal CT should be also done.
Hope this will help. Feel free to ask further questions.
Regards.
Pancreas, stones in bile ducts or urinary tract infection.
Detailed Answer:
Hello!
Thank you for the query.
Upper right abdominal pain radiating to the back is a very characteristic symptom of gallstones in the gallbladder or bile ducts. Stone in the bile ducts can be sometimes missed in the ultrasound.
Have you had any blood work done (especially AST,ALT, GGTP, AP, bilirubin levels - this enzymes should be elevated in case of bile ducts issues)?
Similar to bile gallstones pain can be present with pancreas inflammation. This is possible if you have bee drinking for a long time. It could cause chronic pancreas inflammation. With this issues you may have also fatty diarrhea and weight loss.
Another issue which can cause such symptoms is urinary tract infection. Especially when the kidney is affected pain tends to radiate to the back. Frequent urinating, burning while urinating should be also present.
I suggest you to have mentioned blood work done along with urine analysis. For pancreas diagnostics, abdominal CT should be also done.
Hope this will help. Feel free to ask further questions.
Regards.
Above answer was peer-reviewed by :
Dr. Yogesh D
I had complete blood work and enzymes were elevated thought do to my drinking . I was drinking 4 to 5 days a week having a couple of drinks before dinner no binge drinking. I urinate regular with no pain also no remarkable change in stools or weight lose. Pain is just in upper quadrant more agrivating pressure than real pain.
Brief Answer:
Chronic pancreatitis should be ruled out.
Detailed Answer:
Well, not all this enzymes get elevated due to drinking. Can you please attach this results? GGTP, AP and bilirubin elevated levels do not have to be caused by drinking.
Still pancreas condition is to be checked with abdominal CT. Regular drinking of small alcohol amounts can cause chronic pancreatitis.
Regards.
Chronic pancreatitis should be ruled out.
Detailed Answer:
Well, not all this enzymes get elevated due to drinking. Can you please attach this results? GGTP, AP and bilirubin elevated levels do not have to be caused by drinking.
Still pancreas condition is to be checked with abdominal CT. Regular drinking of small alcohol amounts can cause chronic pancreatitis.
Regards.
Above answer was peer-reviewed by :
Dr. Yogesh D
--------------- MY HEALTHEVET PERSONAL INFORMATION REPORT ---------------
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Produced by the VA Blue Button (v12.10)
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Name: XXXXXX, XXXXXXX Date of Birth: 29 Dec 1957
------------------------ DOWNLOAD REQUEST SUMMARY -----------------------
System Request Date/Time: 05 XXXXXXX 2015 @ 1855
File Name: XXXXX_0000_1855.txt
Date Range Selected: 05 Jul 2014 to 05 XXXXXXX 2015
Data Types Selected:
My HealtheVet Account Summary
VA Laboratory Results: Chemistry/Hematology/Microbiology
--------------------- MY HEALTHEVET ACCOUNT SUMMARY ---------------------
Source: VA
Authentication Status: Authenticated
Authentication Date: 09 Feb 2011
Authentication Facility ID: 586
Authentication Facility Name: G.V. (SONNY) XXXXXXX
VA Treating Facility Type
-------------------- ------
G.V. (SONNY) XXXXXXX na
VBA BRLS na
VETERANS ID CARD SYSTEM na
DEPARTMENT OF DEFENSE DEERS na
XXXXXXX MHV na
ENROLLMENT SYSTEM REENGINEERING na
------------------------- VA LABORATORY RESULTS -------------------------
Source: VA
Last Updated: 02 Dec 2014 @ 1200
Sorted By: Date Specimen Collected (Descending) Lab Test(Alphabetical
Order), then Time Specimen Collected
VA Laboratory Results are available 3 calendar days after they have been
verified. For some tests, results slightly outside the reference range
are not unusual. In addition, not all results are clinically significant.
If you have any questions about your information please visit the FAQs or
contact your VA health care team.
=========================================================================
Lab Test: Cholesterol Total
Lab Type: Chemistry/Hematology
Ordering Provider: BROCKMAN-SPEED, XXXXXXX
Ordering Location: G.V. (SONNY) XXXXXXX
Specimen: Serum (substance)
Date/Time Collected: 13 Nov 2014 @ 0935
Collected Location: G.V. (SONNY) XXXXXXX
-------------------------------------------------------------------------
Test Name: CHOLESTEROL
Result: 200
Units: mg/dL
Reference Range: (0.0-200)
Interpretation: =240 High
(ATP Guidelines from National Cholesterol Education Program)
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
=========================================================================
Lab Test: Drug Screen 5
Lab Type: Chemistry/Hematology
Ordering Provider: BROCKMAN-SPEED, XXXXXXX
Ordering Location: G.V. (SONNY) XXXXXXX
Specimen: Urine (substance)
Date/Time Collected: 13 Nov 2014 @ 0935
Collected Location: G.V. (SONNY) XXXXXXX
-------------------------------------------------------------------------
Test Name: AMPHETAMINES
Result: Negative
Units: --
Reference Range: (Negative)
Interpretation: --
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
----------------------
Test Name: BENZODIAZEPINES
Result: Negative
Units: --
Reference Range: (Negative)
Interpretation: --
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
----------------------
Test Name: CANNABINOIDS
Result: Negative
Units: --
Reference Range: (Negative)
Interpretation: --
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
----------------------
Test Name: COCAINE
Result: Negative
Units: --
Reference Range: (Negative)
Interpretation: If the urine creatinine is <20 mg/dL, dilution is likely a
factor.
The DAU, Drugs of Abuse, test is not intended for Therapeutic Drug
Monitoring. Contact the Lab at EXT 1238 for more information.
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
----------------------
Test Name: CREATININE
Result: 171.30
Units: mg/dL
Reference Range:
Interpretation: No established reference range for this test on random urines.
The
preferred specimen is a 24 hour urine which has a validated reference
interval.
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
----------------------
Test Name: OPIATES
Result: Negative
Units: --
Reference Range: (Negative)
Interpretation: The DAU PANEL methodology should be used for screening only
and it MUST not be used for non-medical purposes.
If clinically indicated, a confirmatory test must be requested
within six (6) days of the original order.
<<< Drug interference should be considered on POSITIVE DAU screens >>>
>
AMPHETAMINES <1000
BENZODIAZEPINES <200
CANNABINOIDS <50
COCAINE <300
OPIATES <300
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
=========================================================================
Lab Test: Creatinine
Lab Type: Chemistry/Hematology
Ordering Provider: BROCKMAN-SPEED, XXXXXXX
Ordering Location: G.V. (SONNY) XXXXXXX
Specimen: Serum (substance)
Date/Time Collected: 02 Oct 2014 @ 0922
Collected Location: G.V. (SONNY) XXXXXXX
-------------------------------------------------------------------------
Test Name: CREATININE
Result: 1.34 High
Units: mg/dL
Reference Range: (0.5-1.2)
Interpretation: --
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
----------------------
Test Name: GLOMERULAR FILTRATION RATE.PREDICTED
Result: 55.1
Units: See Eval
Reference Range: (See Eval)
Interpretation: EGFR units reported as mL/min/1.73 square meters.
<<< Individuals with GFR <60 ml/min/1.73 square meters for 3 months are
classified as having chronic kidney disease >>>
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
=========================================================================
Lab Test: Urea Nitrogen
Lab Type: Chemistry/Hematology
Ordering Provider: BROCKMAN-SPEED, XXXXXXX
Ordering Location: G.V. (SONNY) XXXXXXX
Specimen: Serum (substance)
Date/Time Collected: 02 Oct 2014 @ 0922
Collected Location: G.V. (SONNY) XXXXXXX
-------------------------------------------------------------------------
Test Name: UREA NITROGEN
Result: 18
Units: mg/dL
Reference Range: (6.0-20.0)
Interpretation: --
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
=========================================================================
Lab Test: Helicobacter pylori Ab
Lab Type: Chemistry/Hematology
Ordering Provider: BROCKMAN-SPEED, XXXXXXX
Ordering Location: G.V. (SONNY) XXXXXXX
Specimen: Serum (substance)
Date/Time Collected: 20 Aug 2014 @ 0823
Collected Location: G.V. (SONNY) XXXXXXX
-------------------------------------------------------------------------
Test Name: HELICOBACTER PYLORI AB
Result: Neg.
Units: --
Reference Range: (NEGATIVE)
Interpretation: Negative - Indicates that IgG to H. pylori is absent or
below the level of detection of the assay.
Positive - Indicates the presence of IgG to H. pylori.
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
=========================================================================
Lab Test: Hepatitis C Ab
Lab Type: Chemistry/Hematology
Ordering Provider: BROCKMAN-SPEED, XXXXXXX
Ordering Location: G.V. (SONNY) XXXXXXX
Specimen: Serum (substance)
Date/Time Collected: 20 Aug 2014 @ 0823
Collected Location: G.V. (SONNY) XXXXXXX
-------------------------------------------------------------------------
Test Name: HEPATITIS C VIRUS AB
Result: Negative
Units: --
Reference Range: (Negative)
Interpretation: This is only a screening test. If HCV test is Reactive, the
patient is
presumed to be infected with HCV. Patient samples with Reactive results
will routinely be forwarded by the Lab for supplemental testing.
Please refer to HCV test interpretation table.
On XXXXXXX VAMC website go to pink Clinical Reminders box,
Click CPRS Tips & Training > What is the Interpretation of the HCV Lab
test (Chart).
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
=========================================================================
Lab Test: Hepatitis B Core Ab
Lab Type: Chemistry/Hematology
Ordering Provider: BROCKMAN-SPEED, XXXXXXX
Ordering Location: G.V. (SONNY) XXXXXXX
Specimen: Serum (substance)
Date/Time Collected: 20 Aug 2014 @ 0823
Collected Location: G.V. (SONNY) XXXXXXX
-------------------------------------------------------------------------
Test Name: HEPATITIS B VIRUS CORE AB
Result: Negative
Units: --
Reference Range: (Negative)
Interpretation: --
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
=========================================================================
Lab Test: Hepatitis B Surface Ab
Lab Type: Chemistry/Hematology
Ordering Provider: BROCKMAN-SPEED, XXXXXXX
Ordering Location: G.V. (SONNY) XXXXXXX
Specimen: Serum (substance)
Date/Time Collected: 20 Aug 2014 @ 0823
Collected Location: G.V. (SONNY) XXXXXXX
-------------------------------------------------------------------------
Test Name: HEPATITIS B VIRUS SURFACE AB
Result: POSITIVE
Units: --
Reference Range: (Negative)
Interpretation: --
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
=========================================================================
Lab Test: Hepatitis B Surface Ag
Lab Type: Chemistry/Hematology
Ordering Provider: BROCKMAN-SPEED, XXXXXXX
Ordering Location: G.V. (SONNY) XXXXXXX
Specimen: Serum (substance)
Date/Time Collected: 20 Aug 2014 @ 0823
Collected Location: G.V. (SONNY) XXXXXXX
-------------------------------------------------------------------------
Test Name: HEPATITIS B VIRUS SURFACE AG
Result: Negative
Units: --
Reference Range: (Negative)
Interpretation: --
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
=========================================================================
Lab Test: Amylase
Lab Type: Chemistry/Hematology
Ordering Provider: BROCKMAN-SPEED, XXXXXXX
Ordering Location: G.V. (SONNY) XXXXXXX
Specimen: Serum (substance)
Date/Time Collected: 20 Aug 2014 @ 0822
Collected Location: G.V. (SONNY) XXXXXXX
-------------------------------------------------------------------------
Test Name: AMYLASE
Result: 61
Units: U/L
Reference Range: (28-100)
Interpretation: --
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
-------------------------------------------------------------------------
Comments: Unable to calculate LDL-C due to elevated triglycerides >250 mg/dL.
=========================================================================
Lab Test: Creatine Kinase (CK)
Lab Type: Chemistry/Hematology
Ordering Provider: BROCKMAN-SPEED, XXXXXXX
Ordering Location: G.V. (SONNY) XXXXXXX
Specimen: Serum (substance)
Date/Time Collected: 20 Aug 2014 @ 0822
Collected Location: G.V. (SONNY) XXXXXXX
-------------------------------------------------------------------------
Test Name: CREATINE KINASE
Result: 368
Units: IU/L
Reference Range: (38-397)
Interpretation: --
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
-------------------------------------------------------------------------
Comments: Unable to calculate LDL-C due to elevated triglycerides >250 mg/dL.
=========================================================================
Lab Test: Gen Chem Specimen
Lab Type: Chemistry/Hematology
Ordering Provider: BROCKMAN-SPEED, XXXXXXX
Ordering Location: G.V. (SONNY) XXXXXXX
Specimen: Serum (substance)
Date/Time Collected: 20 Aug 2014 @ 0822
Collected Location: G.V. (SONNY) XXXXXXX
-------------------------------------------------------------------------
Test Name: CHOLESTEROL.IN LDL
Result: 107
Units: mg/dl
Reference Range: (0-130)
Interpretation: Results invalid if Triglycerides greater than 1500 mg/dl.
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
-------------------------------------------------------------------------
Comments: Unable to calculate LDL-C due to elevated triglycerides >250 mg/dL.
=========================================================================
Lab Test: Hepatic Function Panel
Lab Type: Chemistry/Hematology
Ordering Provider: BROCKMAN-SPEED, XXXXXXX
Ordering Location: G.V. (SONNY) XXXXXXX
Specimen: Serum (substance)
Date/Time Collected: 20 Aug 2014 @ 0822
Collected Location: G.V. (SONNY) XXXXXXX
-------------------------------------------------------------------------
Test Name: ALANINE AMINOTRANSFERASE
Result: 32
Units: IU/L
Reference Range: (14-63)
Interpretation: --
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
----------------------
Test Name: ALBUMIN
Result: 4.3
Units: g/dL
Reference Range: (3.4-5.0)
Interpretation: --
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
----------------------
Test Name: ALKALINE PHOSPHATASE
Result: 48
Units: U/L
Reference Range: (38-126)
Interpretation: --
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
----------------------
Test Name: ASPARTATE AMINOTRANSFERASE
Result: 26
Units: IU/L
Reference Range: (15-37)
Interpretation: --
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
----------------------
Test Name: BILIRUBIN
Result: 0.8
Units: mg/dL
Reference Range: (0.0-1.0)
Interpretation: --
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
----------------------
Test Name: BILIRUBIN.GLUCURONIDATED+BILIRUBIN.ALBUMIN BOUND
Result: 0.1
Units: mg/dL
Reference Range: (0.0-0.2)
Interpretation: --
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
----------------------
Test Name: PROTEIN
Result: 7.4
Units: gm/dL
Reference Range: (6.1-8.2)
Interpretation: --
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
-------------------------------------------------------------------------
Comments: Unable to calculate LDL-C due to elevated triglycerides >250 mg/dL.
=========================================================================
Lab Test: Lipase Blood
Lab Type: Chemistry/Hematology
Ordering Provider: BROCKMAN-SPEED, XXXXXXX
Ordering Location: G.V. (SONNY) XXXXXXX
Specimen: Serum (substance)
Date/Time Collected: 20 Aug 2014 @ 0822
Collected Location: G.V. (SONNY) XXXXXXX
-------------------------------------------------------------------------
Test Name: TRIACYLGLYCEROL LIPASE
Result: 25.0
Units: U/L
Reference Range: (22-51)
Interpretation: --
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
-------------------------------------------------------------------------
Comments: Unable to calculate LDL-C due to elevated triglycerides >250 mg/dL.
=========================================================================
Lab Test: Lipid Panel
Lab Type: Chemistry/Hematology
Ordering Provider: BROCKMAN-SPEED, XXXXXXX
Ordering Location: G.V. (SONNY) XXXXXXX
Specimen: Serum (substance)
Date/Time Collected: 20 Aug 2014 @ 0822
Collected Location: G.V. (SONNY) XXXXXXX
-------------------------------------------------------------------------
Test Name: CHOLESTEROL
Result: 204 High
Units: mg/dL
Reference Range: (0.0-200)
Interpretation: =240 High
(ATP Guidelines from National Cholesterol Education Program)
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
----------------------
Test Name: CHOLESTEROL.IN HDL
Result: 62 High
Units: mg/dL
Reference Range: (40-60)
Interpretation: HDL may be invalid due to elevated triglycerides >1000 mg/dL.
=60 HIGH (DESIRABLE)
(ATP Guidelines from National Cholesterol Education Program)
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
----------------------
Test Name: CHOLESTEROL.IN LDL
Result: comment
Units: mg/dL
Reference Range: (0.0-130)
Interpretation: Results invalid if Triglycerides greater than 1500 mg/dl.
<100 Optimal; 100-129 Near/above optimal;
130-159 Borderline high; 160-189 High; >=190 Very High
(ATP Guidelines from National Cholesterol Education Program)
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
----------------------
Test Name: TRIGLYCERIDE
Result: 276 High
Units: mg/dL
Reference Range: (0-150)
Interpretation: =500 VERY
HIGH
(ATP Guidelines from National Cholesterol Education Program)
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
-------------------------------------------------------------------------
Comments: Unable to calculate LDL-C due to elevated triglycerides >250 mg/dL.
=========================================================================
Lab Test: Transpeptidase Gamma Glut
Lab Type: Chemistry/Hematology
Ordering Provider: BROCKMAN-SPEED, XXXXXXX
Ordering Location: G.V. (SONNY) XXXXXXX
Specimen: Serum (substance)
Date/Time Collected: 20 Aug 2014 @ 0822
Collected Location: G.V. (SONNY) XXXXXXX
-------------------------------------------------------------------------
Test Name: GAMMA GLUTAMYL TRANSFERASE
Result: 106 High
Units: IU/L
Reference Range: (7-50)
Interpretation: Range change 10/1/03. Previous range was 5-85 U/L.
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
-------------------------------------------------------------------------
Comments: Unable to calculate LDL-C due to elevated triglycerides >250 mg/dL.
=========================================================================
----------- END OF MY HEALTHEVET PERSONAL INFORMATION REPORT ----------
*************CONFIDENTIAL*************
Produced by the VA Blue Button (v12.10)
05 XXXXXXX 2015 @ 1855
This summary is a copy of information from your My HealtheVet Personal
Health Record. Your summary may include:
- information that you entered (self reported)
- information from your VA health record
- your military service information from the department of defense (DoD).
***Note: Your health care team may not have all of the information from
your Personal Health Record unless you share it with them. Contact your
health care team if you have questions about your health information.***
Key: Double dashes (--) mean there is no information to display.
Name: XXXXXX, XXXXXXX Date of Birth: 29 Dec 1957
------------------------ DOWNLOAD REQUEST SUMMARY -----------------------
System Request Date/Time: 05 XXXXXXX 2015 @ 1855
File Name: XXXXX_0000_1855.txt
Date Range Selected: 05 Jul 2014 to 05 XXXXXXX 2015
Data Types Selected:
My HealtheVet Account Summary
VA Laboratory Results: Chemistry/Hematology/Microbiology
--------------------- MY HEALTHEVET ACCOUNT SUMMARY ---------------------
Source: VA
Authentication Status: Authenticated
Authentication Date: 09 Feb 2011
Authentication Facility ID: 586
Authentication Facility Name: G.V. (SONNY) XXXXXXX
VA Treating Facility Type
-------------------- ------
G.V. (SONNY) XXXXXXX na
VBA BRLS na
VETERANS ID CARD SYSTEM na
DEPARTMENT OF DEFENSE DEERS na
XXXXXXX MHV na
ENROLLMENT SYSTEM REENGINEERING na
------------------------- VA LABORATORY RESULTS -------------------------
Source: VA
Last Updated: 02 Dec 2014 @ 1200
Sorted By: Date Specimen Collected (Descending) Lab Test(Alphabetical
Order), then Time Specimen Collected
VA Laboratory Results are available 3 calendar days after they have been
verified. For some tests, results slightly outside the reference range
are not unusual. In addition, not all results are clinically significant.
If you have any questions about your information please visit the FAQs or
contact your VA health care team.
=========================================================================
Lab Test: Cholesterol Total
Lab Type: Chemistry/Hematology
Ordering Provider: BROCKMAN-SPEED, XXXXXXX
Ordering Location: G.V. (SONNY) XXXXXXX
Specimen: Serum (substance)
Date/Time Collected: 13 Nov 2014 @ 0935
Collected Location: G.V. (SONNY) XXXXXXX
-------------------------------------------------------------------------
Test Name: CHOLESTEROL
Result: 200
Units: mg/dL
Reference Range: (0.0-200)
Interpretation: =240 High
(ATP Guidelines from National Cholesterol Education Program)
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
=========================================================================
Lab Test: Drug Screen 5
Lab Type: Chemistry/Hematology
Ordering Provider: BROCKMAN-SPEED, XXXXXXX
Ordering Location: G.V. (SONNY) XXXXXXX
Specimen: Urine (substance)
Date/Time Collected: 13 Nov 2014 @ 0935
Collected Location: G.V. (SONNY) XXXXXXX
-------------------------------------------------------------------------
Test Name: AMPHETAMINES
Result: Negative
Units: --
Reference Range: (Negative)
Interpretation: --
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
----------------------
Test Name: BENZODIAZEPINES
Result: Negative
Units: --
Reference Range: (Negative)
Interpretation: --
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
----------------------
Test Name: CANNABINOIDS
Result: Negative
Units: --
Reference Range: (Negative)
Interpretation: --
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
----------------------
Test Name: COCAINE
Result: Negative
Units: --
Reference Range: (Negative)
Interpretation: If the urine creatinine is <20 mg/dL, dilution is likely a
factor.
The DAU, Drugs of Abuse, test is not intended for Therapeutic Drug
Monitoring. Contact the Lab at EXT 1238 for more information.
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
----------------------
Test Name: CREATININE
Result: 171.30
Units: mg/dL
Reference Range:
Interpretation: No established reference range for this test on random urines.
The
preferred specimen is a 24 hour urine which has a validated reference
interval.
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
----------------------
Test Name: OPIATES
Result: Negative
Units: --
Reference Range: (Negative)
Interpretation: The DAU PANEL methodology should be used for screening only
and it MUST not be used for non-medical purposes.
If clinically indicated, a confirmatory test must be requested
within six (6) days of the original order.
<<< Drug interference should be considered on POSITIVE DAU screens >>>
>
AMPHETAMINES <1000
BENZODIAZEPINES <200
CANNABINOIDS <50
COCAINE <300
OPIATES <300
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
=========================================================================
Lab Test: Creatinine
Lab Type: Chemistry/Hematology
Ordering Provider: BROCKMAN-SPEED, XXXXXXX
Ordering Location: G.V. (SONNY) XXXXXXX
Specimen: Serum (substance)
Date/Time Collected: 02 Oct 2014 @ 0922
Collected Location: G.V. (SONNY) XXXXXXX
-------------------------------------------------------------------------
Test Name: CREATININE
Result: 1.34 High
Units: mg/dL
Reference Range: (0.5-1.2)
Interpretation: --
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
----------------------
Test Name: GLOMERULAR FILTRATION RATE.PREDICTED
Result: 55.1
Units: See Eval
Reference Range: (See Eval)
Interpretation: EGFR units reported as mL/min/1.73 square meters.
<<< Individuals with GFR <60 ml/min/1.73 square meters for 3 months are
classified as having chronic kidney disease >>>
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
=========================================================================
Lab Test: Urea Nitrogen
Lab Type: Chemistry/Hematology
Ordering Provider: BROCKMAN-SPEED, XXXXXXX
Ordering Location: G.V. (SONNY) XXXXXXX
Specimen: Serum (substance)
Date/Time Collected: 02 Oct 2014 @ 0922
Collected Location: G.V. (SONNY) XXXXXXX
-------------------------------------------------------------------------
Test Name: UREA NITROGEN
Result: 18
Units: mg/dL
Reference Range: (6.0-20.0)
Interpretation: --
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
=========================================================================
Lab Test: Helicobacter pylori Ab
Lab Type: Chemistry/Hematology
Ordering Provider: BROCKMAN-SPEED, XXXXXXX
Ordering Location: G.V. (SONNY) XXXXXXX
Specimen: Serum (substance)
Date/Time Collected: 20 Aug 2014 @ 0823
Collected Location: G.V. (SONNY) XXXXXXX
-------------------------------------------------------------------------
Test Name: HELICOBACTER PYLORI AB
Result: Neg.
Units: --
Reference Range: (NEGATIVE)
Interpretation: Negative - Indicates that IgG to H. pylori is absent or
below the level of detection of the assay.
Positive - Indicates the presence of IgG to H. pylori.
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
=========================================================================
Lab Test: Hepatitis C Ab
Lab Type: Chemistry/Hematology
Ordering Provider: BROCKMAN-SPEED, XXXXXXX
Ordering Location: G.V. (SONNY) XXXXXXX
Specimen: Serum (substance)
Date/Time Collected: 20 Aug 2014 @ 0823
Collected Location: G.V. (SONNY) XXXXXXX
-------------------------------------------------------------------------
Test Name: HEPATITIS C VIRUS AB
Result: Negative
Units: --
Reference Range: (Negative)
Interpretation: This is only a screening test. If HCV test is Reactive, the
patient is
presumed to be infected with HCV. Patient samples with Reactive results
will routinely be forwarded by the Lab for supplemental testing.
Please refer to HCV test interpretation table.
On XXXXXXX VAMC website go to pink Clinical Reminders box,
Click CPRS Tips & Training > What is the Interpretation of the HCV Lab
test (Chart).
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
=========================================================================
Lab Test: Hepatitis B Core Ab
Lab Type: Chemistry/Hematology
Ordering Provider: BROCKMAN-SPEED, XXXXXXX
Ordering Location: G.V. (SONNY) XXXXXXX
Specimen: Serum (substance)
Date/Time Collected: 20 Aug 2014 @ 0823
Collected Location: G.V. (SONNY) XXXXXXX
-------------------------------------------------------------------------
Test Name: HEPATITIS B VIRUS CORE AB
Result: Negative
Units: --
Reference Range: (Negative)
Interpretation: --
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
=========================================================================
Lab Test: Hepatitis B Surface Ab
Lab Type: Chemistry/Hematology
Ordering Provider: BROCKMAN-SPEED, XXXXXXX
Ordering Location: G.V. (SONNY) XXXXXXX
Specimen: Serum (substance)
Date/Time Collected: 20 Aug 2014 @ 0823
Collected Location: G.V. (SONNY) XXXXXXX
-------------------------------------------------------------------------
Test Name: HEPATITIS B VIRUS SURFACE AB
Result: POSITIVE
Units: --
Reference Range: (Negative)
Interpretation: --
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
=========================================================================
Lab Test: Hepatitis B Surface Ag
Lab Type: Chemistry/Hematology
Ordering Provider: BROCKMAN-SPEED, XXXXXXX
Ordering Location: G.V. (SONNY) XXXXXXX
Specimen: Serum (substance)
Date/Time Collected: 20 Aug 2014 @ 0823
Collected Location: G.V. (SONNY) XXXXXXX
-------------------------------------------------------------------------
Test Name: HEPATITIS B VIRUS SURFACE AG
Result: Negative
Units: --
Reference Range: (Negative)
Interpretation: --
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
=========================================================================
Lab Test: Amylase
Lab Type: Chemistry/Hematology
Ordering Provider: BROCKMAN-SPEED, XXXXXXX
Ordering Location: G.V. (SONNY) XXXXXXX
Specimen: Serum (substance)
Date/Time Collected: 20 Aug 2014 @ 0822
Collected Location: G.V. (SONNY) XXXXXXX
-------------------------------------------------------------------------
Test Name: AMYLASE
Result: 61
Units: U/L
Reference Range: (28-100)
Interpretation: --
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
-------------------------------------------------------------------------
Comments: Unable to calculate LDL-C due to elevated triglycerides >250 mg/dL.
=========================================================================
Lab Test: Creatine Kinase (CK)
Lab Type: Chemistry/Hematology
Ordering Provider: BROCKMAN-SPEED, XXXXXXX
Ordering Location: G.V. (SONNY) XXXXXXX
Specimen: Serum (substance)
Date/Time Collected: 20 Aug 2014 @ 0822
Collected Location: G.V. (SONNY) XXXXXXX
-------------------------------------------------------------------------
Test Name: CREATINE KINASE
Result: 368
Units: IU/L
Reference Range: (38-397)
Interpretation: --
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
-------------------------------------------------------------------------
Comments: Unable to calculate LDL-C due to elevated triglycerides >250 mg/dL.
=========================================================================
Lab Test: Gen Chem Specimen
Lab Type: Chemistry/Hematology
Ordering Provider: BROCKMAN-SPEED, XXXXXXX
Ordering Location: G.V. (SONNY) XXXXXXX
Specimen: Serum (substance)
Date/Time Collected: 20 Aug 2014 @ 0822
Collected Location: G.V. (SONNY) XXXXXXX
-------------------------------------------------------------------------
Test Name: CHOLESTEROL.IN LDL
Result: 107
Units: mg/dl
Reference Range: (0-130)
Interpretation: Results invalid if Triglycerides greater than 1500 mg/dl.
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
-------------------------------------------------------------------------
Comments: Unable to calculate LDL-C due to elevated triglycerides >250 mg/dL.
=========================================================================
Lab Test: Hepatic Function Panel
Lab Type: Chemistry/Hematology
Ordering Provider: BROCKMAN-SPEED, XXXXXXX
Ordering Location: G.V. (SONNY) XXXXXXX
Specimen: Serum (substance)
Date/Time Collected: 20 Aug 2014 @ 0822
Collected Location: G.V. (SONNY) XXXXXXX
-------------------------------------------------------------------------
Test Name: ALANINE AMINOTRANSFERASE
Result: 32
Units: IU/L
Reference Range: (14-63)
Interpretation: --
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
----------------------
Test Name: ALBUMIN
Result: 4.3
Units: g/dL
Reference Range: (3.4-5.0)
Interpretation: --
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
----------------------
Test Name: ALKALINE PHOSPHATASE
Result: 48
Units: U/L
Reference Range: (38-126)
Interpretation: --
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
----------------------
Test Name: ASPARTATE AMINOTRANSFERASE
Result: 26
Units: IU/L
Reference Range: (15-37)
Interpretation: --
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
----------------------
Test Name: BILIRUBIN
Result: 0.8
Units: mg/dL
Reference Range: (0.0-1.0)
Interpretation: --
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
----------------------
Test Name: BILIRUBIN.GLUCURONIDATED+BILIRUBIN.ALBUMIN BOUND
Result: 0.1
Units: mg/dL
Reference Range: (0.0-0.2)
Interpretation: --
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
----------------------
Test Name: PROTEIN
Result: 7.4
Units: gm/dL
Reference Range: (6.1-8.2)
Interpretation: --
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
-------------------------------------------------------------------------
Comments: Unable to calculate LDL-C due to elevated triglycerides >250 mg/dL.
=========================================================================
Lab Test: Lipase Blood
Lab Type: Chemistry/Hematology
Ordering Provider: BROCKMAN-SPEED, XXXXXXX
Ordering Location: G.V. (SONNY) XXXXXXX
Specimen: Serum (substance)
Date/Time Collected: 20 Aug 2014 @ 0822
Collected Location: G.V. (SONNY) XXXXXXX
-------------------------------------------------------------------------
Test Name: TRIACYLGLYCEROL LIPASE
Result: 25.0
Units: U/L
Reference Range: (22-51)
Interpretation: --
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
-------------------------------------------------------------------------
Comments: Unable to calculate LDL-C due to elevated triglycerides >250 mg/dL.
=========================================================================
Lab Test: Lipid Panel
Lab Type: Chemistry/Hematology
Ordering Provider: BROCKMAN-SPEED, XXXXXXX
Ordering Location: G.V. (SONNY) XXXXXXX
Specimen: Serum (substance)
Date/Time Collected: 20 Aug 2014 @ 0822
Collected Location: G.V. (SONNY) XXXXXXX
-------------------------------------------------------------------------
Test Name: CHOLESTEROL
Result: 204 High
Units: mg/dL
Reference Range: (0.0-200)
Interpretation: =240 High
(ATP Guidelines from National Cholesterol Education Program)
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
----------------------
Test Name: CHOLESTEROL.IN HDL
Result: 62 High
Units: mg/dL
Reference Range: (40-60)
Interpretation: HDL may be invalid due to elevated triglycerides >1000 mg/dL.
=60 HIGH (DESIRABLE)
(ATP Guidelines from National Cholesterol Education Program)
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
----------------------
Test Name: CHOLESTEROL.IN LDL
Result: comment
Units: mg/dL
Reference Range: (0.0-130)
Interpretation: Results invalid if Triglycerides greater than 1500 mg/dl.
<100 Optimal; 100-129 Near/above optimal;
130-159 Borderline high; 160-189 High; >=190 Very High
(ATP Guidelines from National Cholesterol Education Program)
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
----------------------
Test Name: TRIGLYCERIDE
Result: 276 High
Units: mg/dL
Reference Range: (0-150)
Interpretation: =500 VERY
HIGH
(ATP Guidelines from National Cholesterol Education Program)
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
-------------------------------------------------------------------------
Comments: Unable to calculate LDL-C due to elevated triglycerides >250 mg/dL.
=========================================================================
Lab Test: Transpeptidase Gamma Glut
Lab Type: Chemistry/Hematology
Ordering Provider: BROCKMAN-SPEED, XXXXXXX
Ordering Location: G.V. (SONNY) XXXXXXX
Specimen: Serum (substance)
Date/Time Collected: 20 Aug 2014 @ 0822
Collected Location: G.V. (SONNY) XXXXXXX
-------------------------------------------------------------------------
Test Name: GAMMA GLUTAMYL TRANSFERASE
Result: 106 High
Units: IU/L
Reference Range: (7-50)
Interpretation: Range change 10/1/03. Previous range was 5-85 U/L.
Performing Location: G.V. (SONNY) XXXXXXX 1500 E. WOODROW XXXXXXX , XXXXXXX
MS 39216-5116
Status: Final
-------------------------------------------------------------------------
Comments: Unable to calculate LDL-C due to elevated triglycerides >250 mg/dL.
=========================================================================
----------- END OF MY HEALTHEVET PERSONAL INFORMATION REPORT ----------
Brief Answer:
Abdominal CT is a next step.
Detailed Answer:
Hi,
I have gone through the report thoroughly.
This result do not point to any bile ducts or gallbladder issue.
So chronic pancreatitis should be ruled out as a next step. To do that, abdominal CT is necessary. If nothing will be found in this test, gastroscopy should be next.
I suggest you to consult gastroenterologist with your issue.
Regards.
Abdominal CT is a next step.
Detailed Answer:
Hi,
I have gone through the report thoroughly.
This result do not point to any bile ducts or gallbladder issue.
So chronic pancreatitis should be ruled out as a next step. To do that, abdominal CT is necessary. If nothing will be found in this test, gastroscopy should be next.
I suggest you to consult gastroenterologist with your issue.
Regards.
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Above answer was peer-reviewed by :
Dr. Shanthi.E
Answered by
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