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valdezlink.com/walking_in_gods_armour.htm
| Normal
values for the SGOT and the SGPT vary from one clinical
laboratory to another. As a result, I can give you the normal
values for our lab but not for yours. However, it should be easy
for you to call your doctor’s office and have her/his nurse or
secretary give you these numbers because they are usually listed
with you lab results. As a matter of fact, you might want to get
a copy of your results so that you have them for your personal
records.
Please let us know if you have
any additional information or questions. You can post the
material back to MedHelp. The direct number to our Liver Clinic
at Henry Ford is (313) 916-8865.
This response is being provided
for general informational purposes only and should not be
considered medical advice or consultation. Always check with
your personal physician when you have a question pertaining to
your health
LIVER? |
Elevations
of SGPT, an enzyme found within the liver cells, indicate that
the liver cells are either leaky (internal contents are entering
the blood) or damaged. A wide array of conditions can cause this
problem. For example, viral hepatitis or alcohol can cause
elevated SGPT. We know that patients can have elevated liver
tests as a result of fatty liver, a condition that does not
necessarily mean generalized obesity. Usually fatty liver is not
a cause for significant liver problems.
Lipitor can cause a drug-induced liver damage. Patients taking
this medication must be monitored for elevations of liver tests. |
CLINICAL
Question
36 year-old caucasian male
Laparoscopic Cholecystectomy 5/94
Lab 1/13/04
RBC 2.93 L
HEMOGLOBIN 9.7 L
HEMATOCRIT 27.6 L
RDW 16.0 H
POLYS 38 L
GLUCOSE, SERUM 128 H
BILIRUBIN, TOTAL 2.4 H
AST 43 H
ALT 56 H
IRON BIND. CAP 185 L
UIBC 138 L
IRON SATURATION 25
SEDIMENTATION RATE-
WESTERGREN 28 H
FERRITIN, SERUM 1204 H
TRANSFERRIN 149 L
Non-reactive HIV-1
PHYSICAL
Lower abdominal pain daily, headaches (low grade) daily,
malaise.
EVALUATION
How serious and urgent a medical risk does this current
condition suggest?
What blood tests and non-invasive diagnostic tests would
you order?
Specify what suspected medical diseases could be
indicated?
Does this medical condition require a specialist in
Gastroenterology & Hepatology and/or Hematology
& Oncology? - EastCoast 2-8-04
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Comment:
To answer your questions:
1) The labs are significant for marked anemia, elevated
bilirubin and liver function tests, and markedly
elevated ferritin. With a blood level that low, I would
suggest an evaluation by your primary care provider to
appropriately treat this and diagnose the cause.
2) Next tests would be an abdominal ultrasound (to
evaluate the elevated liver tests and elevated bilirubin)
and a hepatitis panel. With a ferritin that high, I
would also consider a liver biopsy and genetic testing
for hemochromatosis.
3) There are many diseases that can present this way.
Any liver or gall bladder disorder, such as gall stones
or hemochromatosis can present with these findings. With
a low blood count, I would also look for GI causes of
blood loss - a colonoscopy would be a reasonable first
test.
4) A GI specialist would be the most pressing referral.
For the anemia, a hematologist can be consulted for
further guidance.
Follow up with your personal physician is essential.
This answer is not intended as and does not substitute
for medical advice - the information presented is for
patient education only. Please see your personal
physician for further evaluation of your individual
case.
Thanks,
Kevin, M.D.
Forum-M.D.-KYP
(10-Feb-04)
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| Comment 2
It looks like you may
have some liver disease. Your ALT & AST are slightly
elevated and your bilirubin is pretty high. You are also
quite anemic. See a doctor ASAP. -Caroline5 2-9-04
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Comment
3: I was wondering what kind of work you do?
The red blood cell anemia and concern for liver are a
couple of symptoms of exposure to a chemical which is
common place in businesses that deal with cleaning, oil
cleanup, painting, and the like.
(I came to the forum to see what SGPT number of 7
means for a man when 30-65 is normal, and the concern
seems to be for high numbers, not low)
Often the red blood cells need to be tested for RETIC
ratio because they may be low functioning, and you may
not have full blown hemolytic anemia, but you might have
compensating hemolytic anemia. (As long as the bone
marrow can replace the prematurely dying off red blood
cells, the hemolysis won't show up in the blood counts)
It does look like you have the blood counts showing
something, though.
Did you work on the Exxon Valdez oil spill cleanup? You
are about the right age. And the chemical they used in
Inipol EAP 22 or Corexit were too strong with
2-butoxyethanol (AKA ethylene glycol monobutyl ether) OR
were you a gulf war vet? They were exposed to this
solvent and also the more complex diethylene glycol
monobutyl ether. Fatigue is primary on their list of
'gulf war syndrome' symptoms. These chemicals are
classified not only as solvents, but also as pesticides
by EPA and they do cause endocrine disruption; they are
also poisons. They are teratogens; they cause birth
defects and with enough exposure you can have zero
sperm. The list is a mile long of the harm to people;
there already exist many
people groups harmed who have the long term
effects; they need to be medically monitored. - 'Mother
Margaret' 2-28-04 |
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