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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Abdominal Pain, Vomiting, Diarrhea, Bruising Easily, Random Rashes. Ultrasound, Enlarged Liver. Treatment?

my child is a female 11 yrs old all immunizations are up to date. with one round of hpv . She has had upper abd pain with nausea and vomiting some diarrhea , easily bruises, has also had a unexplained rash on and off for 6 weeks. She is obese but we have tried diets and she does exercise regularly, and is very involved in sports. she has had a us which shows her liver to be enlarged
Mon, 21 Apr 2014
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Internal Medicine Specialist 's  Response
Dear Friend.
Welcome to HCM. I am Dr Anshul Varshney.
I have read your query in detail. I understand your concern.
There can be some coagulation disorder, ITP or even vasculitis.
I would like to see the rash/bruise. If possible attach a pic.
Also get following investigations:
1. Hemogram including platetlet count
2. PT/INR
3. aptt
4. ANA
This is my best advice for you with the available details, if you have any further query, please ask us.
Stay Healthy
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Abdominal Pain, Vomiting, Diarrhea, Bruising Easily, Random Rashes. Ultrasound, Enlarged Liver. Treatment?

Dear Friend. Welcome to HCM. I am Dr Anshul Varshney. I have read your query in detail. I understand your concern. There can be some coagulation disorder, ITP or even vasculitis. I would like to see the rash/bruise. If possible attach a pic. Also get following investigations: 1. Hemogram including platetlet count 2. PT/INR 3. aptt 4. ANA This is my best advice for you with the available details, if you have any further query, please ask us. Stay Healthy