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Abdominal Pain, Bloody, Watery Diarrhoea, Jaundice, Elevated LFT Levels. What Is The Diagnosis?
if a patient is c(with the bar over it) a Hx of N+V , abdominal pain and profuse , watery diarrhea in the absence of a fever . they report that the symptoms began 5 days ago and resolved after 1 day they all have been symptom free for 3 days but now the sympyoms have returned there is also a new on set of jaundice and bloody diarrhea .lab results indicate elevates Lfts . the patient reports eating a hamburger several hours before the intial on set of symptoms what i is the likely diagnosis
Mon, 5 Jun 2017
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.
Jaundice is usually a sign of certain liver disease and high bilirubin value and in your case there are also systemic signs of inflammation so this is more suggestive of infectious hepatitis.
Causes of jaundice vary from non-serious to potentially fatal. Levels of bilirubin in blood are normally below 1.0 mg/dL (17 µmol/L) and levels over 2 to 3 mg/dL (34 to 51 µmol/L) typically results in jaundice.
High bilirubin may be due to the liver diseases such as cirrhosis or hepatitis, infections, medications, or blockage of the bile duct which may occur due to gallstones, cancer, or pancreatitis. Medical imaging such as ultrasound is useful for detecting bile duct blockage.
Treatment of jaundice is typically determined by the underlying cause. If a bile duct blockage is present surgery is typically required, otherwise management is medical.Medical management may involve treating infectious causes and stopping medication that could be contributing.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Ivan R. Rommstein
I have reviewed your query and here is my advice.
Jaundice is usually a sign of certain liver disease and high bilirubin value and in your case there are also systemic signs of inflammation so this is more suggestive of infectious hepatitis.
Causes of jaundice vary from non-serious to potentially fatal. Levels of bilirubin in blood are normally below 1.0 mg/dL (17 µmol/L) and levels over 2 to 3 mg/dL (34 to 51 µmol/L) typically results in jaundice.
High bilirubin may be due to the liver diseases such as cirrhosis or hepatitis, infections, medications, or blockage of the bile duct which may occur due to gallstones, cancer, or pancreatitis. Medical imaging such as ultrasound is useful for detecting bile duct blockage.
Treatment of jaundice is typically determined by the underlying cause. If a bile duct blockage is present surgery is typically required, otherwise management is medical.Medical management may involve treating infectious causes and stopping medication that could be contributing.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Ivan R. Rommstein
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