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Done with blood work, liver function and bilirubin test. What are the findings?

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Practicing since : 2007
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Respected Sir
This is my father's report of the given tests.
1. Routine exam of blood
Haemoglobin: 9.1
E.S.R: 50
total wbc count: 3,500
Differential count-
polymorph neutrophil: 74
lymphocyte: 24
eosinophil: 96
2. Random blood sugar : 96
3. Blood urea: 28
4. Serum creatinine: 1.1
5. Uric acid: 5.5
6. M.P by chromatography: negative
7. widal test -
TO 1: 40
TH 1: 160
AH 1: 20
BH 1: 20

8. Liver function test
bilirubin: 2.2
S.G.P.T : 47
S.G.O.T: 73
serum alkaline phosphate: 231
total protein: 7.4
albumin: 3.6
globulin: 3.8

9. Direct/indirect bilirubin-
direct bilirubin: 1.2
indirect bilirubin: 1.0

sir could you please tell me what does these parameters indicate?
Posted Sun, 19 May 2013 in General Health
Answered by Dr. Jorge Brenes-Salazar 2 hours later

Thanks for sharing your concerns.

These are very general tests, let me point out the major abnormalities: a hemoglobin of 9.1 indicates anemia (low blood counts) which could have many reasons: blood loss, occult or evident, infection, poor marrow production, nutritional deficiencies, early destruction of red blood cells, etc, and will have to be looked into further by the doctor.

The ESR is an indicator of inflammation, but in your father's case cannot be interpreted accurately since it will be "falsely elevated" if there is anemia.

Kidney function looks good (Creatinine, BUN). The liver function is impaired, with elevated bilirrubin, SGPT, SGOT and low albumin; again the causes of liver malfunction are many: infection, toxins including alcohol, metabolic disturbances, etc, so again, your doctor will likely need to order more tests depending on your father's medical history and physical examination to try to elucidate the cause for liver impairment.

Hope this is helpful. Wish you and your father the best health,

Dr Brenes-Salazar MD
Mayo Clinic Rochester
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