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What Does My Lab Test Report Indicate?
Question: Liver enzymes have been increasing over the last few months. What concerns you most about my most recent labs?
Electrolytes
Sodium Level
139 mmol/L
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:136 mmol/L - 144 mmol/L
Potassium Level
4.0 mmol/L
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:3.6 mmol/L - 5.1 mmol/L
Chloride Level
106 mmol/L
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:101 mmol/L - 111 mmol/L
Carbon Dioxide Level
24 mmol/L
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:22 mmol/L - 32 mmol/L
Anion Gap
9 mmol/L
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:2 mmol/L - 11 mmol/L
Osmolality, Calculated
280 mOsm/kg
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:275 mOsm/kg - 295 mOsm/kg
Organic/Inorganic
Glucose
133 mg/dL (High)
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:65 mg/dL - 110 mg/dL
Blood Urea Nitrogen
13 mg/dL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:8 mg/dL - 25 mg/dL
Creatinine
1.59 mg/dL (High)
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:0.70 mg/dL - 1.20 mg/dL
BUN/Creat Ratio
8
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:7 - 21
Estimated GFR, Non XXXXXXX XXXXXXX
47 mL/min/1.73m2 (Low)
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:>= 60 mL/min/1.73m2
Estimated GFR, XXXXXXX XXXXXXX
54 mL/min/1.73m2 (Low)
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:>= 60 mL/min/1.73m2
Protein Total
7.0 gm/dL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:6.1 gm/dL - 7.9 gm/dL
Albumin Level
3.9 gm/dL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:3.5 gm/dL - 4.8 gm/dL
Bilirubin Total
1.1 mg/dL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:0.3 mg/dL - 1.2 mg/dL
Calcium Level Total
9.1 mg/dL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:8.9 mg/dL - 10.3 mg/dL
Enzymes Other
Alanine Aminotransferase
118 unit/L (High)
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:<= 44 unit/L
Alkaline Phosphatase
52 unit/L
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:32 unit/L - 91 unit/L
Aspartate Aminotransferase
55 unit/L (High)
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:15 unit/L - 41 unit/L
Gamma Glutamyl Transferase
64 unit/L (High)
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:7 unit/L - 50 unit/L
Tumor Markers
Alpha Fetoprotein Tumor Marker
3.8 ng/mL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:0.5 ng/mL - 9.0 ng/mL
Hematology
White Blood Cell Count
5.5 10E3/mcL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:4.2 10E3/mcL - 9.1 10E3/mcL
Red Blood Cell Count
5.78 10E6/mcL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:4.63 10E6/mcL - 6.08 10E6/mcL
Hemoglobin
17.2 gm/dL (High)
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:12.9 gm/dL - 16.1 gm/dL
Hematocrit
49.1 % (High)
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:37.7 % - 46.5 %
MCV
84.9 fL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:79.0 fL - 92.2 fL
MCH
29.8 pg
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:25.7 pg - 32.2 pg
MCHC
35.0 gm/dL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:30.0 gm/dL - 36.0 gm/dL
Red Cell Distribution Width-CV
12.0 %
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:11.6 % - 14.4 %
Red Cell Distribution Width-SD
37.0 fL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:36.4 fL - 46.3 fL
Nucleated RBC Count
0 %
Date: Jul 22, 2016 03:22 p.m. EDT
Platelet Count
187 10E3/mcL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:150 10E3/mcL - 400 10E3/mcL
Mean Platelet Volume
9.6 fL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:9.4 fL - 12.4 fL
Automated Differential
Neutrophil
54 %
Date: Jul 22, 2016 03:22 p.m. EDT
Lymphocyte
33 %
Date: Jul 22, 2016 03:22 p.m. EDT
Monocyte
10 %
Date: Jul 22, 2016 03:22 p.m. EDT
Eosinophil
1 %
Date: Jul 22, 2016 03:22 p.m. EDT
Basophil
1 %
Date: Jul 22, 2016 03:22 p.m. EDT
Immature Granulocyte
0 %
Date: Jul 22, 2016 03:22 p.m. EDT
Absolute Neutrophil
2.97 10E3/mcL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:0.67 10E3/mcL - 6.41 10E3/mcL
Absolute Lymphocyte
1.84 10E3/mcL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:0.72 10E3/mcL - 3.29 10E3/mcL
Absolute Monocyte
0.57 10E3/mcL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:0.14 10E3/mcL - 0.71 10E3/mcL
Absolute Eosinophil
0.08 10E3/mcL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:0.05 10E3/mcL - 0.29 10E3/mcL
Absolute Basophil
0.06 10E3/mcL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:<= 0.07 10E3/mcL
Absolute Immature Granulocyte
0.02 10E3/mcL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:<= 0.03 10E3/mcL
Absolute Nucleated RBC
0.00 10E3/mcL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:<= 0.00 10E3/mcL
Hematology Other
Preliminary Neutrophil %
54 %
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:34 % - 68 %
Anemia Studies
Iron Level
103 mcg/dL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:49 mcg/dL - 151 mcg/dL
TIBC
388 mcg/dL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:250 mcg/dL - 450 mcg/dL
% Saturation
27 %
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:13 % - 45 %
Folate Level
> 20.0 ng/mL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:>= 5.9 ng/mL
Ferritin Level
96 ng/mL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:24 ng/mL - 336 ng/mL
Coagulation Tests
Prothrombin Time (PT)
23.1 second(s) (High)
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:9.4 second(s) - 12.5 second(s)
INR
1.98
Date: Jul 22, 2016 03:22 p.m. EDT
Autoimmunity Studies
dsDNA Antibody IgG Titer
Pending until Jul 28, 2016, 02:42 a.m. EDT
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:<= 10.0 IU/mL
ENA Screen with Reflex
Pending until Jul 28, 2016, 02:42 a.m. EDT
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:Negative
F-Actin Antibody, IGG
Pending until Jul 28, 2016, 04:53 a.m. EDT
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:0-19
Mitochondrial M2 Antibody, IGG
Pending until Jul 28, 2016, 04:53 a.m. EDT
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:0.0-20.0
Serum Protein Immunology
Immunoglobulin IgG Level Total
726 mg/dL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:694 mg/dL - 1618 mg/dL
Alpha1 AntiTrypsin Level (view more)
Pending until Jul 28, 2016, 07:52 a.m. EDT
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:90-200
Alpha 1 Antitrypsin Phenotype
Pending until Jul 28, 2016, 07:52 a.m. EDT
Date: Jul 22, 2016 03:22 p.m. EDT
Ceruloplasmin Level
35 mg/dL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:21 mg/dL - 53 mg/dL
Hepatitis Virus Studies
Hepatitis A Antibody IgM
Pending until Jul 27, 2016, 11:18 a.m. EDT
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:Negative
Anti-Hepatitis A Virus IgG
Pending until Jul 27, 2016, 11:18 a.m. EDT
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:Negative
Hepatitis A Interpretation
Pending until Jul 27, 2016, 11:18 a.m. EDT
Date: Jul 22, 2016 03:22 p.m. EDT
Hepatitis B Surface Antigen
Pending until Jul 27, 2016, 11:18 a.m. EDT
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:Negative
Hepatitis B Surface Antibody Quant
Pending until Jul 27, 2016, 11:18 a.m. EDT
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:<= 999.99 mIU/mL
Hepatitis B Core Antibody Total
Pending until Jul 27, 2016, 11:18 a.m. EDT
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:Negative
Hepatitis B DNA Quantification
Pending until Jul 28, 2016, 05:14 a.m. EDT
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:0 - 19
Hepatitis B DNA Quant Log
Pending until Jul 28, 2016, 05:14 a.m. EDT
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:0.00 - 1.29
Hepatitis C Antibody
Pending until Jul 27, 2016, 11:18 a.m. EDT
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:Negative
Blood Pressure
Systolic BP / Diastolic BP
148 / 93 mmHg (High)
Date: Jul 22, 2016 01:53 p.m. EDT Reference Range (Systolic BP):80 mmHg - 140 mmHgReference Range (Diastolic BP):89 mmHg
Patient Vital Results
Body Mass Index
27.3 kg/m2
Date: Jul 22, 2016 01:53 p.m. EDT
Electrolytes
Sodium Level
139 mmol/L
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:136 mmol/L - 144 mmol/L
Potassium Level
4.0 mmol/L
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:3.6 mmol/L - 5.1 mmol/L
Chloride Level
106 mmol/L
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:101 mmol/L - 111 mmol/L
Carbon Dioxide Level
24 mmol/L
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:22 mmol/L - 32 mmol/L
Anion Gap
9 mmol/L
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:2 mmol/L - 11 mmol/L
Osmolality, Calculated
280 mOsm/kg
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:275 mOsm/kg - 295 mOsm/kg
Organic/Inorganic
Glucose
133 mg/dL (High)
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:65 mg/dL - 110 mg/dL
Blood Urea Nitrogen
13 mg/dL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:8 mg/dL - 25 mg/dL
Creatinine
1.59 mg/dL (High)
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:0.70 mg/dL - 1.20 mg/dL
BUN/Creat Ratio
8
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:7 - 21
Estimated GFR, Non XXXXXXX XXXXXXX
47 mL/min/1.73m2 (Low)
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:>= 60 mL/min/1.73m2
Estimated GFR, XXXXXXX XXXXXXX
54 mL/min/1.73m2 (Low)
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:>= 60 mL/min/1.73m2
Protein Total
7.0 gm/dL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:6.1 gm/dL - 7.9 gm/dL
Albumin Level
3.9 gm/dL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:3.5 gm/dL - 4.8 gm/dL
Bilirubin Total
1.1 mg/dL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:0.3 mg/dL - 1.2 mg/dL
Calcium Level Total
9.1 mg/dL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:8.9 mg/dL - 10.3 mg/dL
Enzymes Other
Alanine Aminotransferase
118 unit/L (High)
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:<= 44 unit/L
Alkaline Phosphatase
52 unit/L
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:32 unit/L - 91 unit/L
Aspartate Aminotransferase
55 unit/L (High)
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:15 unit/L - 41 unit/L
Gamma Glutamyl Transferase
64 unit/L (High)
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:7 unit/L - 50 unit/L
Tumor Markers
Alpha Fetoprotein Tumor Marker
3.8 ng/mL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:0.5 ng/mL - 9.0 ng/mL
Hematology
White Blood Cell Count
5.5 10E3/mcL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:4.2 10E3/mcL - 9.1 10E3/mcL
Red Blood Cell Count
5.78 10E6/mcL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:4.63 10E6/mcL - 6.08 10E6/mcL
Hemoglobin
17.2 gm/dL (High)
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:12.9 gm/dL - 16.1 gm/dL
Hematocrit
49.1 % (High)
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:37.7 % - 46.5 %
MCV
84.9 fL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:79.0 fL - 92.2 fL
MCH
29.8 pg
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:25.7 pg - 32.2 pg
MCHC
35.0 gm/dL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:30.0 gm/dL - 36.0 gm/dL
Red Cell Distribution Width-CV
12.0 %
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:11.6 % - 14.4 %
Red Cell Distribution Width-SD
37.0 fL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:36.4 fL - 46.3 fL
Nucleated RBC Count
0 %
Date: Jul 22, 2016 03:22 p.m. EDT
Platelet Count
187 10E3/mcL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:150 10E3/mcL - 400 10E3/mcL
Mean Platelet Volume
9.6 fL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:9.4 fL - 12.4 fL
Automated Differential
Neutrophil
54 %
Date: Jul 22, 2016 03:22 p.m. EDT
Lymphocyte
33 %
Date: Jul 22, 2016 03:22 p.m. EDT
Monocyte
10 %
Date: Jul 22, 2016 03:22 p.m. EDT
Eosinophil
1 %
Date: Jul 22, 2016 03:22 p.m. EDT
Basophil
1 %
Date: Jul 22, 2016 03:22 p.m. EDT
Immature Granulocyte
0 %
Date: Jul 22, 2016 03:22 p.m. EDT
Absolute Neutrophil
2.97 10E3/mcL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:0.67 10E3/mcL - 6.41 10E3/mcL
Absolute Lymphocyte
1.84 10E3/mcL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:0.72 10E3/mcL - 3.29 10E3/mcL
Absolute Monocyte
0.57 10E3/mcL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:0.14 10E3/mcL - 0.71 10E3/mcL
Absolute Eosinophil
0.08 10E3/mcL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:0.05 10E3/mcL - 0.29 10E3/mcL
Absolute Basophil
0.06 10E3/mcL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:<= 0.07 10E3/mcL
Absolute Immature Granulocyte
0.02 10E3/mcL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:<= 0.03 10E3/mcL
Absolute Nucleated RBC
0.00 10E3/mcL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:<= 0.00 10E3/mcL
Hematology Other
Preliminary Neutrophil %
54 %
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:34 % - 68 %
Anemia Studies
Iron Level
103 mcg/dL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:49 mcg/dL - 151 mcg/dL
TIBC
388 mcg/dL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:250 mcg/dL - 450 mcg/dL
% Saturation
27 %
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:13 % - 45 %
Folate Level
> 20.0 ng/mL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:>= 5.9 ng/mL
Ferritin Level
96 ng/mL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:24 ng/mL - 336 ng/mL
Coagulation Tests
Prothrombin Time (PT)
23.1 second(s) (High)
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:9.4 second(s) - 12.5 second(s)
INR
1.98
Date: Jul 22, 2016 03:22 p.m. EDT
Autoimmunity Studies
dsDNA Antibody IgG Titer
Pending until Jul 28, 2016, 02:42 a.m. EDT
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:<= 10.0 IU/mL
ENA Screen with Reflex
Pending until Jul 28, 2016, 02:42 a.m. EDT
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:Negative
F-Actin Antibody, IGG
Pending until Jul 28, 2016, 04:53 a.m. EDT
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:0-19
Mitochondrial M2 Antibody, IGG
Pending until Jul 28, 2016, 04:53 a.m. EDT
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:0.0-20.0
Serum Protein Immunology
Immunoglobulin IgG Level Total
726 mg/dL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:694 mg/dL - 1618 mg/dL
Alpha1 AntiTrypsin Level (view more)
Pending until Jul 28, 2016, 07:52 a.m. EDT
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:90-200
Alpha 1 Antitrypsin Phenotype
Pending until Jul 28, 2016, 07:52 a.m. EDT
Date: Jul 22, 2016 03:22 p.m. EDT
Ceruloplasmin Level
35 mg/dL
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:21 mg/dL - 53 mg/dL
Hepatitis Virus Studies
Hepatitis A Antibody IgM
Pending until Jul 27, 2016, 11:18 a.m. EDT
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:Negative
Anti-Hepatitis A Virus IgG
Pending until Jul 27, 2016, 11:18 a.m. EDT
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:Negative
Hepatitis A Interpretation
Pending until Jul 27, 2016, 11:18 a.m. EDT
Date: Jul 22, 2016 03:22 p.m. EDT
Hepatitis B Surface Antigen
Pending until Jul 27, 2016, 11:18 a.m. EDT
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:Negative
Hepatitis B Surface Antibody Quant
Pending until Jul 27, 2016, 11:18 a.m. EDT
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:<= 999.99 mIU/mL
Hepatitis B Core Antibody Total
Pending until Jul 27, 2016, 11:18 a.m. EDT
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:Negative
Hepatitis B DNA Quantification
Pending until Jul 28, 2016, 05:14 a.m. EDT
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:0 - 19
Hepatitis B DNA Quant Log
Pending until Jul 28, 2016, 05:14 a.m. EDT
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:0.00 - 1.29
Hepatitis C Antibody
Pending until Jul 27, 2016, 11:18 a.m. EDT
Date: Jul 22, 2016 03:22 p.m. EDT Reference Range:Negative
Blood Pressure
Systolic BP / Diastolic BP
148 / 93 mmHg (High)
Date: Jul 22, 2016 01:53 p.m. EDT Reference Range (Systolic BP):80 mmHg - 140 mmHgReference Range (Diastolic BP):89 mmHg
Patient Vital Results
Body Mass Index
27.3 kg/m2
Date: Jul 22, 2016 01:53 p.m. EDT
Brief Answer:
Need to know the result of viral/autoimune hepatitis tests..
Detailed Answer:
Hi and thank you for asking on HCM!
I read carefully all your concerns and reports and I can say as follows :
1. With regards to transaminases (AST and AlT)level. Yes it is true that they are elevated at your case.
The main cause of elevated transaminases is viral hepatitis and autoimmune disorders.
At your case you have rule out other issues like ceruloplasmine (normal).
As I read above you are waiting the test reports of viral hepatitis and autoimmune panel results.
2.You have high pro thrombine time level. It is probably related with warfarine use.
So it doesn't indicate a hepatic issues.
3. I would like to know the opinion of you hematologist about high Hemoglobin level?I would like to know too if you have used alcohol and how much per week.
At the end I need to know the last results for viral hepatitis and autoimmune hepatitis to give an accurate opinion.
Hope it was helpful to you.
Dr.Klerida
Need to know the result of viral/autoimune hepatitis tests..
Detailed Answer:
Hi and thank you for asking on HCM!
I read carefully all your concerns and reports and I can say as follows :
1. With regards to transaminases (AST and AlT)level. Yes it is true that they are elevated at your case.
The main cause of elevated transaminases is viral hepatitis and autoimmune disorders.
At your case you have rule out other issues like ceruloplasmine (normal).
As I read above you are waiting the test reports of viral hepatitis and autoimmune panel results.
2.You have high pro thrombine time level. It is probably related with warfarine use.
So it doesn't indicate a hepatic issues.
3. I would like to know the opinion of you hematologist about high Hemoglobin level?I would like to know too if you have used alcohol and how much per week.
At the end I need to know the last results for viral hepatitis and autoimmune hepatitis to give an accurate opinion.
Hope it was helpful to you.
Dr.Klerida
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you for your response. I have included the results of the Hepatitis and Autoimmunnity Studies that were not available when I submitted my initial inquiry:
1. See below Autoimmunity Studies and Hepatitis Testing. I'm also including the year long results of my ALT and AST. You will note at the time I presented at the ER my AST and ALT were both normal. My Alkaline Phosphatase has always been well within the normal averaging 52 unit/L (Reference Range: 32-92 unit/L)
Autoimmunity Studies
dsDNA Antibody IgG Titer
1.9 IU/mL
Date: Jul 22, 2016 03:22 p.m. EDT
Reference Range:<= 10.0 IU/mL
ENA Screen with Reflex
Negative
Date: Jul 22, 2016 03:22 p.m. EDT
Reference Range:Negative
F-Actin Antibody, IGG
5 Units
Date: Jul 22, 2016 03:22 p.m. EDT
Reference Range:0-19
Mitochondrial M2 Antibody, IGG
3.5 Units
Date: Jul 22, 2016 03:22 p.m. EDT
Reference Range:0.0-20.0
Hepatitis Virus Studies
Hepatitis A Antibody IgM
Negative
Date: Jul 22, 2016 03:22 p.m. EDT
Reference Range:Negative
Anti-Hepatitis A Virus IgG
Positive (Abnormal)
Date: Jul 22, 2016 03:22 p.m. EDT
Reference Range:Negative
Hepatitis A Interpretation
The value for this result cannot be displayed. Contact your provider to obtain this information.
Date: Jul 22, 2016 03:22 p.m. EDT
Hepatitis B Surface Antigen
Negative
Date: Jul 22, 2016 03:22 p.m. EDT
Reference Range:Negative
Hepatitis B Surface Antibody Quant
0.00 mIU/mL
Date: Jul 22, 2016 03:22 p.m. EDT
Reference Range:<= 999.99 mIU/mL
Hepatitis B Core Antibody Total
Negative
Date: Jul 22, 2016 03:22 p.m. EDT
Reference Range:Negative
Hepatitis B DNA Quantification
Undetected
Date: Jul 22, 2016 03:22 p.m. EDT
Reference Range:0 - 19
Hepatitis B DNA Quant Log
Undetected
Date: Jul 22, 2016 03:22 p.m. EDT
Reference Range:0.00 - 1.29
Hepatitis C Antibody
Negative
Date: Jul 22, 2016 03:22 p.m. EDT
Reference Range:Negative
Alanine Aminotransferase
118 unit/L (High)
Date: Jul 22, 2016 03:22 p.m. EDT
Reference Range:<= 44 unit/L
Show more info
110 unit/L (High)
Date: Jun 24, 2016 12:03 p.m. EDT
Reference Range:<= 44 unit/L
Show more info
117 unit/L (High)
Date: Jun 03, 2016 10:24 a.m. EDT
Reference Range:<= 44 unit/L
Show more info
105 unit/L (High)
Date: Apr 29, 2016 12:15 p.m. EDT
Reference Range:<= 44 unit/L
Show more info
51 unit/L (High)
Date: Aug 05, 2015 02:16 a.m. EDT
Reference Range:<= 44 unit/L
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42 unit/L
Date: Aug 03, 2015 05:15 a.m. EDT
Reference Range:<= 44 unit/L
Aspartate Aminotransferase
55 unit/L (High)
Date: Jul 22, 2016 03:22 p.m. EDT
Reference Range:15 unit/L - 41 unit/L
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77 unit/L (High)
Date: Jun 24, 2016 12:03 p.m. EDT
Reference Range:15 unit/L - 41 unit/L
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75 unit/L (High)
Date: Jun 03, 2016 10:24 a.m. EDT
Reference Range:15 unit/L - 41 unit/L
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60 unit/L (High)
Date: Apr 29, 2016 12:15 p.m. EDT
Reference Range:15 unit/L - 41 unit/L
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37 unit/L
Date: Aug 05, 2015 02:16 a.m. EDT
Reference Range:15 unit/L - 41 unit/L
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19 unit/L
Date: Aug 03, 2015 05:15 a.m. EDT
Reference Range:15 unit/L - 41 unit/L
2. Due to warfarin use my Prothrombin Time (PT) over the last year has ranged from a low of 13.6 to a high of 25.3
3. My Hematologist has not provided any insight since the Jak 2 Exon 12 Mutation Dx test was negative. She referred me to a Heptologist that ordered the additional labs I've shared with you. I don't know, yet, what is causing my Hemoglobin and Hematocrit to be elevated. Both were normal until April 29 labs. The July 22, labs was the first time my Estimated GFR, Non XXXXXXX XXXXXXX was low at 47 mL/min/1.73m2 (Low). Previous nine eGFR results were all >70 with the exception of a 66. My alcohol consumption is sporatic. I'm a social drinker that's more likely to over indulge than drink regularly. Most weeks I have <10 beers. More on vacation and social occassions.
I had a CT and MRI last year. One interpretation observed an enlarged an enlarged spleen, some fat deposition and suggested Portal Hypertension.
Hope this additional information is helpful.
Thank you, XXXXXXX XXXXXXX
1. See below Autoimmunity Studies and Hepatitis Testing. I'm also including the year long results of my ALT and AST. You will note at the time I presented at the ER my AST and ALT were both normal. My Alkaline Phosphatase has always been well within the normal averaging 52 unit/L (Reference Range: 32-92 unit/L)
Autoimmunity Studies
dsDNA Antibody IgG Titer
1.9 IU/mL
Date: Jul 22, 2016 03:22 p.m. EDT
Reference Range:<= 10.0 IU/mL
ENA Screen with Reflex
Negative
Date: Jul 22, 2016 03:22 p.m. EDT
Reference Range:Negative
F-Actin Antibody, IGG
5 Units
Date: Jul 22, 2016 03:22 p.m. EDT
Reference Range:0-19
Mitochondrial M2 Antibody, IGG
3.5 Units
Date: Jul 22, 2016 03:22 p.m. EDT
Reference Range:0.0-20.0
Hepatitis Virus Studies
Hepatitis A Antibody IgM
Negative
Date: Jul 22, 2016 03:22 p.m. EDT
Reference Range:Negative
Anti-Hepatitis A Virus IgG
Positive (Abnormal)
Date: Jul 22, 2016 03:22 p.m. EDT
Reference Range:Negative
Hepatitis A Interpretation
The value for this result cannot be displayed. Contact your provider to obtain this information.
Date: Jul 22, 2016 03:22 p.m. EDT
Hepatitis B Surface Antigen
Negative
Date: Jul 22, 2016 03:22 p.m. EDT
Reference Range:Negative
Hepatitis B Surface Antibody Quant
0.00 mIU/mL
Date: Jul 22, 2016 03:22 p.m. EDT
Reference Range:<= 999.99 mIU/mL
Hepatitis B Core Antibody Total
Negative
Date: Jul 22, 2016 03:22 p.m. EDT
Reference Range:Negative
Hepatitis B DNA Quantification
Undetected
Date: Jul 22, 2016 03:22 p.m. EDT
Reference Range:0 - 19
Hepatitis B DNA Quant Log
Undetected
Date: Jul 22, 2016 03:22 p.m. EDT
Reference Range:0.00 - 1.29
Hepatitis C Antibody
Negative
Date: Jul 22, 2016 03:22 p.m. EDT
Reference Range:Negative
Alanine Aminotransferase
118 unit/L (High)
Date: Jul 22, 2016 03:22 p.m. EDT
Reference Range:<= 44 unit/L
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110 unit/L (High)
Date: Jun 24, 2016 12:03 p.m. EDT
Reference Range:<= 44 unit/L
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117 unit/L (High)
Date: Jun 03, 2016 10:24 a.m. EDT
Reference Range:<= 44 unit/L
Show more info
105 unit/L (High)
Date: Apr 29, 2016 12:15 p.m. EDT
Reference Range:<= 44 unit/L
Show more info
51 unit/L (High)
Date: Aug 05, 2015 02:16 a.m. EDT
Reference Range:<= 44 unit/L
Show more info
42 unit/L
Date: Aug 03, 2015 05:15 a.m. EDT
Reference Range:<= 44 unit/L
Aspartate Aminotransferase
55 unit/L (High)
Date: Jul 22, 2016 03:22 p.m. EDT
Reference Range:15 unit/L - 41 unit/L
Show more info
77 unit/L (High)
Date: Jun 24, 2016 12:03 p.m. EDT
Reference Range:15 unit/L - 41 unit/L
Show more info
75 unit/L (High)
Date: Jun 03, 2016 10:24 a.m. EDT
Reference Range:15 unit/L - 41 unit/L
Show more info
60 unit/L (High)
Date: Apr 29, 2016 12:15 p.m. EDT
Reference Range:15 unit/L - 41 unit/L
Show more info
37 unit/L
Date: Aug 05, 2015 02:16 a.m. EDT
Reference Range:15 unit/L - 41 unit/L
Show more info
19 unit/L
Date: Aug 03, 2015 05:15 a.m. EDT
Reference Range:15 unit/L - 41 unit/L
2. Due to warfarin use my Prothrombin Time (PT) over the last year has ranged from a low of 13.6 to a high of 25.3
3. My Hematologist has not provided any insight since the Jak 2 Exon 12 Mutation Dx test was negative. She referred me to a Heptologist that ordered the additional labs I've shared with you. I don't know, yet, what is causing my Hemoglobin and Hematocrit to be elevated. Both were normal until April 29 labs. The July 22, labs was the first time my Estimated GFR, Non XXXXXXX XXXXXXX was low at 47 mL/min/1.73m2 (Low). Previous nine eGFR results were all >70 with the exception of a 66. My alcohol consumption is sporatic. I'm a social drinker that's more likely to over indulge than drink regularly. Most weeks I have <10 beers. More on vacation and social occassions.
I had a CT and MRI last year. One interpretation observed an enlarged an enlarged spleen, some fat deposition and suggested Portal Hypertension.
Hope this additional information is helpful.
Thank you, XXXXXXX XXXXXXX
Brief Answer:
Please follow
Detailed Answer:
Hi back,
I read carefully all your medical reports and I can say as follows:
1. Your serological viral hepatitis tests are negativ . It shows that your transaminasw level are not associated with viral hepatitis infection.
The only one that I didn't found is EBV and CMV infection. Which I would recommend you to do .
2. autoimune hepatitis has been ruled out from your test results.
This is why to my opinion your Ast and Alt level may be related with :
- medication ( please tell me if you have started any treatment in the same time or before the transaminase level increased)
- EBV or CMV acute infection.
3. With regards to Ct report please can you upload it to me so I can check them by myself.
Hope it was helpful to you.
Dr.Klerida
Please follow
Detailed Answer:
Hi back,
I read carefully all your medical reports and I can say as follows:
1. Your serological viral hepatitis tests are negativ . It shows that your transaminasw level are not associated with viral hepatitis infection.
The only one that I didn't found is EBV and CMV infection. Which I would recommend you to do .
2. autoimune hepatitis has been ruled out from your test results.
This is why to my opinion your Ast and Alt level may be related with :
- medication ( please tell me if you have started any treatment in the same time or before the transaminase level increased)
- EBV or CMV acute infection.
3. With regards to Ct report please can you upload it to me so I can check them by myself.
Hope it was helpful to you.
Dr.Klerida
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dr. Shehu,
Thank you for your time and attention to my questions.
I have uploaded the radiology reports as you requested.
I have not been tested for CMV and EBV. I had a very bad case of mono almost 40 years when I was in college. I am due to have more labs drawn later this month. I will request labs for CMV and EBV.
The only medications I'm taking that I was not taking a year ago are warfarin, metoprolol (August 2015-January 2016) and Cardizem LA 120mg (January 2016-Present). I developed side effects from metoprolol as the reason for the change in afib medication.
Best regards, XXXXXXX XXXXXXX
Thank you for your time and attention to my questions.
I have uploaded the radiology reports as you requested.
I have not been tested for CMV and EBV. I had a very bad case of mono almost 40 years when I was in college. I am due to have more labs drawn later this month. I will request labs for CMV and EBV.
The only medications I'm taking that I was not taking a year ago are warfarin, metoprolol (August 2015-January 2016) and Cardizem LA 120mg (January 2016-Present). I developed side effects from metoprolol as the reason for the change in afib medication.
Best regards, XXXXXXX XXXXXXX
Brief Answer:
Please follow..
Detailed Answer:
Hi back,
I read carefully your Ct and MRI reports and it shows about an acute portal vein thrombosis.
If I were your treating doctor I would recommend to repeat abdominal ultrasound or Ct now at to better evaluate If the thrombus is still there and if there is any structural damage of liver.
Otherwise it is important that you have started a new medication like cardizem. It has rarely( nearly 2% of cases ) side effects like elevation of AST and AlT level. So it can be a factor of your elevated transaminases.
But we should wait till you finish all your exams and get a final conclusion.
Wish you all the best.
Dr.Klerida
Please follow..
Detailed Answer:
Hi back,
I read carefully your Ct and MRI reports and it shows about an acute portal vein thrombosis.
If I were your treating doctor I would recommend to repeat abdominal ultrasound or Ct now at to better evaluate If the thrombus is still there and if there is any structural damage of liver.
Otherwise it is important that you have started a new medication like cardizem. It has rarely( nearly 2% of cases ) side effects like elevation of AST and AlT level. So it can be a factor of your elevated transaminases.
But we should wait till you finish all your exams and get a final conclusion.
Wish you all the best.
Dr.Klerida
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you for your help and guidance.
Best regards, XXXXXXX XXXXXXX
Best regards, XXXXXXX XXXXXXX
Brief Answer:
Pleas follow...
Detailed Answer:
Hi back,
I am glad to know that it was helpful to you.
Wish you health.
Dr. Klerida
Pleas follow...
Detailed Answer:
Hi back,
I am glad to know that it was helpful to you.
Wish you health.
Dr. Klerida
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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