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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Swollen Arms Upto Shoulder. CAT Scan Normal, High Liver Enzymes, Recommended Gastro Consultation. Reason?

My daughter has significantly elevated AST and ALT and both arms are swollen, from mid forearm to shoulder bilaterally. CAT scan of liver showed no masses or abnormalities. Only finding on urine sample and blood work is the elevated liver enzymes . SED rate WNL. Have been to Urgent Care and ED and they have wrapped her arms to help with the swelling and referred her to Gastroenterologist . What would be the cause? What would be next steps to determine the cause?
Fri, 13 Sep 2013
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Radiologist 's  Response
raised liver enzymes indicate some liver abnormality and swelling
need to analyse complete LFT
bilirubin
serum albumin globulin
hepatitis A,B,C markers

there is some kind of liver impairment
when has the swelling started?
history of onset and all the above mentioned test are important to figure out the diagnosis
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Swollen Arms Upto Shoulder. CAT Scan Normal, High Liver Enzymes, Recommended Gastro Consultation. Reason?

raised liver enzymes indicate some liver abnormality and swelling need to analyse complete LFT bilirubin serum albumin globulin hepatitis A,B,C markers there is some kind of liver impairment when has the swelling started? history of onset and all the above mentioned test are important to figure out the diagnosis