Respond Tatyana Stepanova, a gastroenterologist, hepatologist, of course, my mother would have to look at. Judging by the results of the survey data is available for cirrhosis of the furnace. Turn coagulation, a blood test for HCV RNA similar question: ... ultrasound of the abdomen and kidneys: Increasing the size of the liver. Diffuse changes of the parenchyma of the liver and pancreas. Hyperechoic education ...
Sunday, September 25, 2011
Please help diagnose my mom (76 years). Hematologist sent to a hepatologist, that an oncologist, who in turn again to a hematologist. Blood tests: August 12. 2006 Hemoglobin - 70.0 g / L; Erythrocytes - 2,3 ? 10 to 12 degrees / L color index - 0,8; Platelets - 84 ? 10 degrees at 9 / l, WBC - 4,2 ? 10 9 degrees / l; stab - 1%, segmented - 58%, Eosinophils - 2%; Lymphocytes - 48% Monocytes - 6%; ESR - 70 mm / h, glucose - 4.7 mmol / L Calcium - 2 , 1 mmol / L; Moderate anizohromiya. Total protein - 108.0 g / l Bilirubin total - 9.88 umol / L Bilirubin direct - avs, unconjugated bilirubin - 17.0 umol / L ALT - 0.64 umol / L AST - 0.32 umol / l, Urea - 8,0 mmol / l Residual nitrogen - 3,8; Iron - 21.8 umol / L; Thymol test - 4 units. ; Anti - HCV - Position = 2,7 w = 0,246. Republican Cancer Research Center, the Cabinet CT Date August 19, 2006 In a series of CT grams of the abdomen: Liver: Diffuse increased in size. The contours of a few rough; density of the parenchyma 41 52 ed.N. Vascular pattern without pathology. Portal vein diameter 1.4 cm intrahepatic bile ducts are not dilated, in the projection of individual strokes are rendered single calcification in diameter from 0 W to O, 8cm. In the projection of 4 segments is determined by the hearth with clear boundaries correctly rounded shape with a diameter of 2.7 cm, the density of 10 12 units. H (corresponding to the liquid). Gallbladder: The walls are sealed, the contents of the uniform of the pancreas: a clear outline. Diameter of head, body and tail 2,8-2,0-1,9 cm, respectively. The density of the parenchyma 41 49 units. N. Spleen: Increased, size 14.0 x 10.0 cm KIDNEY: contours are smooth, the CCI to 1,2-1,4 cm on both sides, CHLS not extended, concretions were found. A retroperitoneal / UNITS: increased - para-aortic, parakavalnye, iliac, retroperitoneal to 0,4 - 0,8 cm, single l / nodes in the projection gate of the liver. There may be a small amount of fluid in the abdomen, located on the front surface of the liver. Conclusion: Hepatosplenomegaly. Diffuse changes in the liver parenchyma, chronic hepatitis, obviously, with the transition to cirrhosis. Chronic bilateral pyelonephritis. The increase in practically all groups of A retroperitoneal nodes. Recommended: exclude blood disease, blood chemistry, blood test for hepatitis B virus (B, C). Myelogram (sternal punctate): reticular cells - 2,6%, myelocytes - 0,2%, metamyelocytes - 0,4%, stab - 0,4%, segmented - 21,4%, Eosinophilic myelocyte - 1,0% Lymphocytes - 63%, Monocytes - 1.4%, plasma cells - 8,6%, Normotsity oxyphil - 0,2%. Thanks in advance
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