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Doctor insights on: Lipase Assay Protocol

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Lfts worsening-serum gammagt level 647u/l, serum alk phosphate 654u/l.Othr blood/heps normal.Mri &scans done. 3polyps large14mm in gallbladder-remove?

Lfts worsening-serum gammagt level 647u/l, serum alk phosphate 654u/l.Othr blood/heps normal.Mri &scans done. 3polyps large14mm in gallbladder-remove?

See specialist: The elevation in ggtp and alkaline phosphatase in the setting of gallbladder polyps that large mandates that you see a liver specialist before embarking on surgery. There are two types of specialists you should see, a hepatologist, a liver internal medicine doctor to make sure this is not some type of hepatitis or liver disease and then a liver surgeon to decide if the polyp is cancerous. Do asap. ...Read more

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Dr. Todd Igel
362 doctors shared insights

Lipase (Definition)

Lipases, such as lipoprotein lipase and endothelial lipase, are enzymes that breakdown circulating triglycerides (tg). Specifically, lipases degrade tg rich lipoproteins including chylomicrons, very low density lipoprotein (vldl) and remnant particles produced by breakdown of chylomicron and vldl particles. Decreased lipase function leads to accumulation of ...Read more


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Are normal cbc, billuprin, amylase and lipase levels, CT scan and qualitative fecal fat test a good indication against pancreatic cancer?

Are normal cbc, billuprin, amylase and lipase levels, CT scan and qualitative fecal fat test a good indication  against pancreatic cancer?

Yes: Pancreatic cancer is most uncommon at your age to begin with (it is not a common cancer in general). Normal blood tests and ct scan should reassure you that pancreatic cancer is not there. ...Read more

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What are these tests done for? Hb, tc, ast, alt, bilurubin total, direct. Creatinine, quantitative CRP assay and rbs.

What are these tests done for?
Hb, tc, ast, alt, bilurubin total, direct. Creatinine, quantitative CRP assay and rbs.

General health: Just as a grown man, i might walk into my physician's office after several years of neglecting my annual physicals, and expect to get all of these checked. Health maintenance, fishing expedition, or focused workup -- all are common tests. ...Read more

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Had triage sob, hepatic panel, complete blood count, hepatic profile, basic metabolic profile, liver 1, lipid profile, hemo a1c, serum-serum all done?

Had triage sob, hepatic panel, complete blood count, hepatic profile, basic metabolic profile, liver 1, lipid profile, hemo a1c, serum-serum all done?

Maybe: It seems as though you've had quite a few tests ordered. Whether or not you're done will likely depend on the reason why they were ordered along with the test results that you'll discuss with your doctor. Good luck. ...Read more

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Immunofixation, Serum FAH = Monoclonal IgG kappa immunoglobulin. Beta FAH = 10.5% Abnormal band, immunofixation to follow. I'm IgA deficient too. ??

Immunofixation, Serum FAH = Monoclonal IgG kappa immunoglobulin.   Beta FAH = 10.5% Abnormal band, immunofixation to follow. I'm IgA deficient too. ??

Possibly: If I am understaning this right you have a monoclonal protien band? The most important next steps here would be to identify the band (immunofixation) and then perfrom quantitvaive immunoglobulin levels. IF there is a monoclonal band, you may very well have reciprocal depriciation of alternative immunoglobulins and IgA deficiecny with an IgG monoclonal protein is possible. ...Read more

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How to measure anti-dna antibody using farr assay?

How to measure anti-dna antibody using farr assay?

Radioactivity: The farr assay is a radioimmunologic assay. It uses radiolabeled antigens to detect specific antibodies in serum. The antigens are allowed to react with the serum and then precipitated using a special reagent such as protein a sepharose beads. The bound radiolabeled immunoprecipitiate is commonly analzyed by gel electrophoresis. ...Read more

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Please interpret- C.trachomatis RNA TMA Result: Detected. Standard range: Not detected. Test performed using the Aptima Combo2 (R) assay gen-probe(r)

Please interpret-
C.trachomatis RNA TMA Result: Detected. Standard range: Not detected. Test performed using the Aptima Combo2 (R) assay gen-probe(r)

You have chlamydia: "Detected" means the test found chlamydia -- i.e. a positive result. Return to the doctor or clinic where the test was done for treatment. (If you tested yourself at a lab, see a doctor or clinic ASAP.) Your current or recent sex partner(s) also need treatment. Good luck! ...Read more

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What can cause fluctuation in lipase serum from asymptomatic person? MRCP, CT scans, autoimmune, celiac all neg. EUS recommend? Lipase elevation found incidentally 4 yrs ago. Test ED over 10x @ labs

What can cause fluctuation in lipase serum from asymptomatic person? MRCP, CT scans, autoimmune, celiac all neg. EUS recommend? Lipase elevation found incidentally 4 yrs ago. Test  ED over 10x @ labs

Serum lipase : Elevations in serum lipase can be caused by medication, intermittent gall bladder obstruction or slow emptying of the gall bladder, alcohol excess, pregnancy, testosterone or steroid therapies. Asymptomatic pancreatitis also causes elevations of lipase and amylase. I would have your clinician review all of your medications, and your cholesterol and triglyceride levels which can elevate lipase. ...Read more

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HSV 1 positive through blood test =[LIAISON assay using chemiluminescence immunoassay (CLIA) tech.] Index=1.47, how likely is it false positive?

HSV 1 positive through blood test =[LIAISON assay using chemiluminescence immunoassay (CLIA) tech.]  Index=1.47, how likely is it false positive?

Not false positive: False positive tests for HSV1 are very rare. Half of all persons your age have positive tests, so nothing unusual there. Most likely from an oral infection in the distant past. ...Read more

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TSH with human anti-mouse antigen lab test correlation and purpose ?

TSH  with human anti-mouse antigen lab test correlation and purpose ?

Unclear questions: Mouse antibodies are used in many immunoassays, including test for TSH. Could you please restate your questions as it is not clear in its present form. You may visit this site for information on TSH. http://www.nlm.nih.gov/medlineplus/ency/article/003684.htm ...Read more

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ALT 65, AST 38, Bilirubin 0.5, ALP 214, TSH 1.49, T4 4.28, Anti HCV , Negative, Hep Bs Antigen Negative? I remained on Iberet Folic + vitamins earlier

ALT 65, AST 38, Bilirubin 0.5, ALP 214, TSH 1.49, T4 4.28, Anti HCV , Negative, Hep Bs Antigen Negative? I remained on Iberet Folic + vitamins earlier

Question?: It is not at all clear what you are asking. Please rephrase and send again. But remember that answers on HealthTap aren't intended for individual treatment, prescription or diagnosis. ...Read more

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Serum -tiny IgM kappa monoclonal protein b2 region, urine - tiny IgM k paraproteinemia in gamma region. Was a mistake made or is lab normal?

Serum -tiny IgM kappa monoclonal protein b2 region, urine - tiny IgM k paraproteinemia in gamma region. Was a mistake made or is lab normal?

Monoclonal: multiple myeloma (g>a>m>e, d) •primary macroglobulinemia (waldenstrøm’s, igm) •monoclonal gammopathy of undetermined significance (mgus) (converts at 2% per year to myeloma) •miscellaneous conditions •(converts at 2% per year to myeloma) these all have to be thought of by the hematologist. ...Read more

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My blood test results: total bilirubin: 1.41 h ast: 40 h alt: 100 h total alk phosphatase: 43 l serum total protein: 7.1 e.R. Said hepatitis?

My blood test results:
total bilirubin: 1.41 h
ast: 40 h
alt: 100 h
total alk phosphatase: 43 l
serum total protein: 7.1

e.R. Said hepatitis?

Let's try this...: I have only a little bit of the story you've shared. Perhaps it's time to see whether the ast and alt get back to normal after two weeks off alcohol and any not-totally-necessary meds you may be taking. If so, this is the start of a healthier life after alcohol. If not, the workup for virus infections, iron overload, wilson's, autoimmunity & need for exercise can begin. Good luck. ...Read more

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Spec.chemistry TEST NAME PSA SCREEN 0.18 then space is blank=1= FREE T4 1.18. TSH 1.863 COMM. =1=the PSA assay is a direct chemiluminometric immunoasy?

See below: All laboratory tests 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, the results you provided are all normal. ...Read more

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My thyroid function test: T3 (liothyronine) 9.692 ng/ml , T4 9.101 ug/dl , TSH 2.767 uiu/ml. Hb alc. 5.4% , serum CRP test <6 mg/l . Any complications?

My thyroid function test: T3 (liothyronine) 9.692 ng/ml , T4 9.101 ug/dl , TSH 2.767 uiu/ml. Hb alc. 5.4%  , serum CRP test <6 mg/l . Any complications?

More info needed: The physician who ordered theses tests is best to advise you. Diabetes test is normal but thyroid needs to be followed.Because the thyroid is a master gland it affects many parts of your body and the physician must evaluate you globally. ...Read more

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Blood test: measure serum lipase fasting, then measure again 30 min after lundh meal. How much should lipase rise?

Blood test: measure serum lipase fasting, then measure again 30 min after lundh meal. How much should lipase rise?

Negligible: All else being normal one would not expect there to be a rise in lipase beyond laboratory normals. Amylase (also a salivary enzyme) may be elevated but still within laboratory normal limits, . ...Read more

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Low amylase blood level, tryglerides 934, cholesterol 264, HDL 42, non HDl 226,creatine 1,09,bun 23, I have lupus/scleroderma ana positive, ifa pos.

Hyperlipidemia: Your serum lipids are very abnormal and require dietary and most likely medication for treatment. If untreated you are predisposed to cardiovascular complications. Very high triglycerides predispose to pancreatitis. Your physician and/ or rheumatologist will refer you to a dietitian and advise you on medications, avoidance of alcohol and the follow-up needed. ...Read more

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Fattyliver and hyperlipidemia, new lftresults bilirubin 0.2, alk.Phos.174, alt89, protein 8.6, albumin3.9, ast35.Lft&ct 3mo ago normal.Cause of elevated lft?

Fattyliver and hyperlipidemia, new lftresults bilirubin 0.2, alk.Phos.174, alt89, protein 8.6, albumin3.9, ast35.Lft&ct 3mo ago normal.Cause of elevated lft?

Still fatty liver: Were you told that you have type 2 diabetes and fatty liver? Sometimes the only sign of fatty liver related to metabolic syndrome and type 2 diabetes may be an increased liver enzymes such as alt. An MRI study may show fatty liver. The best bet would be to ask your doctor the reason for the elevated alt. Other labs appear normal. ...Read more