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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Be The Yellowness In Vital Organs,eyes And Enlarged Liver?

My 4 month old nephew has always had a yellowish tint to his skin, but now his eyes and skin are very yellow. He is in the hospital currently...He has and enlarged liver and spleen, blood in his stool, very thin blood, and has developed a heart murmur. They say that his organs are beginning to turn yellow...They cannot figure out what is wrong...any ideas?
Mon, 2 May 2016
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General & Family Physician,  's  Response
Hi thanks for contacting HCM...

Noted here your nephew having jaundice...
With hepatosplenomegaly.

Here you have to consult pediatrician for this....

First hemolytic anemia should be ruled out.
His peripheral smear examination done with retic count and serum LDH...
If needed from blood electrophoresis done to rule out hemoglobinopathies...

Detailed history needed to rule out congenital hyperbilirubin syndromes like gilbert ....

If needed liver biopsy needed to done...

Complete LFT investigation with liver enzymes and viral marker done..

If bilirubin not control by drug then photo therapy given...

Metabolic syndrome ruled out by detail history.

Take care.

Keep these in mind and consult pediatrician for this.

Dr.Parth
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What Could Be The Yellowness In Vital Organs,eyes And Enlarged Liver?

Hi thanks for contacting HCM... Noted here your nephew having jaundice... With hepatosplenomegaly. Here you have to consult pediatrician for this.... First hemolytic anemia should be ruled out. His peripheral smear examination done with retic count and serum LDH... If needed from blood electrophoresis done to rule out hemoglobinopathies... Detailed history needed to rule out congenital hyperbilirubin syndromes like gilbert .... If needed liver biopsy needed to done... Complete LFT investigation with liver enzymes and viral marker done.. If bilirubin not control by drug then photo therapy given... Metabolic syndrome ruled out by detail history. Take care. Keep these in mind and consult pediatrician for this. Dr.Parth