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Dr. Andrew Rynne

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Ankle Still Swollen After Ligament Injury, Elevated SGPT Levels. Are They Related ?

I was working on a chemical tanker lately, we carried halogenated hydrocarbons, gasoline. In the post service medical LFT my Function test results were : Ser Alb 5.1; serum glob 2.4 SGOT 35 SGPT 127 Alk Phosphatese 76 I also checked my CBC and all results normal, HIV Ag/ Ab combo non reactive, HsBAg Non reactive, ESR 2mm I had a moderate Ankle ligament injury 7 days prior to the report and the ankle was still swollen when I took the unction test. Alcohol Intake is Minimal with One 200 ml Margarita in past 7 months. Non Smoker, Exercise regularly. Height 5ft 7" and weight of 69 Kg. How probable is it that the elevated SGPT levels are due to Ankle Ligament Injury? Its been 1 month since I did the previous testing and the ankle seems to have slowly recovered now.
Tue, 9 Jul 2013
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Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM,
The liver function tests i.e. albumin, globulin, SGOT, and alkaline phosphatase are all within normal limits.
SGPT is slightly raised, however an isolated increase in one of the liver transaminase enzyme is not of any consequence.
Other tests- complete blood counts and ESR are also within normal limits.
So, the liver functions are all within normal limits.
The levels of liver enzymes are not associated with musculoskeletal injury (ankle injury in your case).
The levels of SGPT can be measured after some time.
Ankle injury is unrelated with the liver enzymes.
Consult an orthopedician for clinical examination, relevant investigations and appropriate management of the ankle injury.

Thanks and take care
Dr Shailja P Wahal

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Ankle Still Swollen After Ligament Injury, Elevated SGPT Levels. Are They Related ?

Hello and welcome to HCM, The liver function tests i.e. albumin, globulin, SGOT, and alkaline phosphatase are all within normal limits. SGPT is slightly raised, however an isolated increase in one of the liver transaminase enzyme is not of any consequence. Other tests- complete blood counts and ESR are also within normal limits. So, the liver functions are all within normal limits. The levels of liver enzymes are not associated with musculoskeletal injury (ankle injury in your case). The levels of SGPT can be measured after some time. Ankle injury is unrelated with the liver enzymes. Consult an orthopedician for clinical examination, relevant investigations and appropriate management of the ankle injury. Thanks and take care Dr Shailja P Wahal