Doctor insights on:
Lyme Disease And Palpable Liver
This organ plays a major role in metabolism and has a number of functions in the body, including glycogen storage, decomposition of red blood cells, plasma protein synthesis, hormone production, and detoxification. It lies below the diaphragm in the abdominal-pelvic region of the abdomen. It produces bile, an alkaline compound which aids in digestion via the emulsification of ...Read more
Ace levels high, liver enzymes high, possible sarcoidosis dx, can sarcoidosis cause fatty liver on ultrasound. Dr scheduling liver& lymph biopsy.
Sarcoidosis - Liver: The most common radiographic finding of hepatic sarcoidosis is hepatomegaly. Ultrasound can show diffuse increased homogeneous or heterogeneous echogenicity in hepatic sarcoidosis appearing similar to fatty liver. Focal liver nodules (thought to represent coalescence of small granulomas) can also be seen in hepatic sarcoidosis. Liver involvement by sarcoidosis typically responds well to steroids. ...Read more
Absolutely: Wilson's is infamous for mimicking alcoholic liver disease and nash, with a lot of fat. This is a terrible blunder but i'm afraid it happens. Wilson's is deadly, treacherous, and the screening labs are often misleading. Screening for it should be done early in a liver workup that presents any ambiguities. ...Read more
Bili ALT AST have been elevated on off for a yr confirmed mild diffuse fatty infiltration. hep viruses and autoimmune disease ruled out. Cirrhosis?
Possible: Cirrhosis is advanced liver disease and can be the eventual outcome of long-standing liver inflammation. The only way to detect early signs of cirrhosis would be liver biopsy. Imaging studies and endoscopy only find advanced disease. You should be seeing a specialist who can advise you on cause, risks and treatments. ...Read moreSee 1 more doctor answer
YES!: Lyme disease can affect every organ of the body. 66% of patients with early disseminated lyme disease have elevated liver enzymes (see http://www.Ncbi.Nlm.Nih.Gov/pubmed/8675158). Even more patients infected with ehrlichiosis (80%) have elevated liver enzymes and it can even rarely cause liver failure- see http://cid.Oxfordjournals.Org/content/34/9/1206.Long. ...Read moreSee 1 more doctor answer
Depends!: Elevated liver enzymes can be due to a number of different conditions. They can even be elevated temporarily for no reason, & fall to normal the next time it is checked. Are you on any meds? Do you feel bad? There isn't enough info to give you a decent answer. Give a little more history, and add any meds or other medical problems that you have in your health history and it will help us answer ...Read more
How and why is there an increase in urobilinogen levels in hepatocellular dysfunctions like alcoholic liver disease, cirrhosis and malignancy of liver?
Obstruction: When the liver is prevented from doing it's job due to disease it shows itself through elevation of certain chemicals in the blood because it is being blocked by physical disruption of the anatomy and bile goes into the blood causing yellowing of the skin ( jaundice). ...Read moreSee 1 more doctor answer
Dx serositis sle. Abnormalities found on CT of liver.No masses.Norm biopsy. No gallbladder. Can inflamed liver cause severe bloating and nausea?
Possible, but: It depends on how bad your liver is inflamed. The symptoms could be from medication side effect. You should discuss this with your rheumatologist for more accurate advice. ...Read more
Hashimotos disease; is my gradual onset (5 weeks) neck pain and localized swelling caused by neck strain or cervical lymphoma 2* thyroid disease?
UnlikelyButGetChecke: Hashimoto Disease is an auto immune disease which affects thyroid gland.It can pain in any joint and muscles. It can increase your risk of getting a rare kind of thyroid cancer called Thyroid Lymphoma.That is a very rare occurrence in some. But it is not cervical Lymphoma. Since you have a concern about it and have a nodule in thyroid gland . Get it checked by your endocrinologist asap. ...Read moreSee 1 more doctor answer
1cm nodule on inhomogeneous thyroid. Severe pain, swelling, and tingling in both wrists. Possible Hashimoto's disease symptoms?
Unlikely: The symptoms of Hashimoto's thyroiditis are those of gradual failure of the thyroid gland and clinical hypothyroidism. I don't know what "inhomogenous" means. What did the history, physical exam of the thyroid, serum TSH, and serology reveal? A sub-cm nodule is only biopsied if there are concerning radiographic qualities. Was scintigraphy or ultrasound done? ...Read more
Will chemotherapy help at all with 8.7cm thyroid cancer with mestatic neck disease and spread to nearby lymph nodes ?
Thyroid treatment: First line against thyroid cancer is surgery. You need to get all detectable disease out of the neck (the primary tumor and nodal metastases). Radioactive iodine is used to eradicate remaining thyroid and thyroid cancer cells. This can also help with distant mets in lungs/bone/etc. This can be repeated. External beam radiation ; chemo are reserved for cancer that has become dangerous. ...Read moreSee 1 more doctor answer
No: Almost everyone has a few palpable neck nodes. They are almost always your friends. Disease here she's as very large nodes, very hard nodes, or nodes stuck to surrounding structures. ...Read more
Hx of metastatic pap thy cancer with hashimotos and rheum arth. Poss liver mass found on no contrast CT. Nausea loss appetite feel full..liver cancer?
Need evaluation: Hi. The liver needs to be evaluated and if mass is confirmed, it needs to be biopsied. Papillary thyroid cancer is not likely to metastasize to liver, so that history is probably unrelated. You should see a gastroenterologist, and have that questionable liver mass evaluated. Good luck! ...Read moreSee 1 more doctor answer
U/s shows "mildly, enlarged liver 17cm prob due to fibrofatty disease" all labs and liver enzymes normal.. How would this be interpreted?
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