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Workup: If available, get a proper genetic workup even if no one else in the family is affected. If your amylase is high but lipase normal and there is nothing on imaging pointing to the pancreas, this may be macroamylasemia. If the pancreatitis is real, checking the cystic fibrosis and trypsinogen loci is indicated. This may be one piece in the puzzle. Be persistent. ...Read more
Yes indeed: It's got to be strenuous enough to kill off some liver cells by diverting blood to the muscles long enough to have liver cells in the lobule centers get sick from lack of oxygen. They'll heal up fine; all marathon runners do this. Or unconditioned muscle exercised heavily may leak SGOT and sgpt. It's worth ruling out by history before embarking on a costly workup of elevated transaminases. ...Read more
Maybe Infection.: The elevation of neutrophils coukl mean bacterial infection, as these cells are important in fighting this kind of infection. The high hemohlobin seems nonspecific, in abscence of other symptoms and signs. It could possibly mean a polycythemia, one of the porphorias, or a myeloproliferative disorder, which could explain the high neutrophils. It can also be from high altitude. See dr. For more. ...Read more
Can gilbert's also present with mildly elevated direct bilirubin (0.4-0.7)..with elevated total (1.4-2.2) Mostly indirect still some direct elevation?
Not from Gilbert's: Gilbert's syndrome causes a deficiency in the enzyme that converts indirect bilirubin to direct bilirubin. In other words, the only issue is that indirect bilirubin is converted to direct bilirubin more slowly. People with Gilbert's are not unhealthy from it and are not considered to have a "disease." If direct bilirubin is elevated, something else is going on. ...Read more
AST elevated (65), ALT elevated (50) and total bilirubin elevated (3.0). All other enzymes are normal. Is this significant??
Acth stim test. Results of rise of cortisol and 17-0hp normal. What causes moderate elevation of androstenedione, slight elevation testosterone?
Co-tango usually: The BUN is usually 10 times the creatinine. When the creatinine goes up, the BUN goes up similarly to roughly keep this proportion, in most kidney disease states. The notable exception is when the creatinine goes up say by 20% to 1.2, but the BUN goes up *5 to 50. This strongly suggests a pre-renal state, commonly dehydration. Mild elevations of BUN with normal creatinines aren't of concern. ...Read more
Heart Muscle Damage: Troponin i and t are biomarkers that are very sensitive and specific for heart muscle damage (heart attack). When these are elevated, they usually (but not always) indicated a heart attack. There are some exceptions, so you should speak with a physician to clarify this issue. ...Read more
elevated BUN, elevated k+ , elevated chloride, normal creatinine, and decreased Co2.
Could this indicate kidney failure?
Probably not: I need more information in order to optimally answer your question. However, at a glance, the best indicator of kidney function is creatinine clearance. BUN can be elevated from other processes. I would need to look at the lab report to confirm your impressions. You are too young to have CKD. You should review the labs with the doctor who ordered them. ...Read more
Total bilirubin 2.5 (Elevated), Direct bilirubin 0.5 (Elevated), Indirect bilirubin 2.0 (Elevated) All other liver enzymes normal. What causes this?
Rerun test: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, you need to re do the tests in non-fasting state. With the exception of elevated direct bilirubin, the findings are consistent with Gilbert syndrome, which is not a disease. See this site for more info: http://www.mayoclinic.org/diseases-conditions/gilberts-syndrome/basics/definition/con-20024904 ...Read more
ST elevation...: Many believe that an st elevation myocardial infarction means that it is a transmural infarct (involving the whole thickness of the myocardium). Some people refer to nstemi (non st elevation myocardial infarction) as non-transmural infarct (not involving the whole thickness of the myocardium). These definitions are somewhat debatable but thought you may be interested. ...Read moreSee 1 more doctor answer
Sugar in diet: processed sugar, found in candy, sweets and processed foods (soda) can elevate your triglycerides. Try to avoid hidden fats such as luncheon meats, hot dogs and fatty food snacks such as chips. Eat low saturated fat-less meat and less fried foods since they can elevate triglyceride levels. ...Read moreSee 1 more doctor answer