YOUR DIAGNOSIS, PLEASE! A 50 YEARS OLD WOMAN WITH HEPATIC MULTYLESIONS AND MILD JAUNDICE

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PANAHI M.; SHARIFI D.

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Paper Information

Journal: Medical Journal of Mashhad University of Medical Sciences Year:2006 | Volume:49 | Issue:93 Page(s): 315-316

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Title

YOUR DIAGNOSIS, PLEASE! A 50 YEARS OLD WOMAN WITH HEPATIC MULTYLESIONS AND MILD JAUNDICE

Author(s)

PANAHI M. | SHARIFI D. | Issue Writer Certificate

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Abstract

A 50 years old woman was admitted to the hospital, because of possible carcinoma of the liver. She has been in a good health until about two months earlier, when symptoms and signs of fatigue, malaise and sensation of heaviness and fullness on the right upperside of abdomen started.She believed that her abdomen was enlarging. Daily temperature was up to 37.5 C° . She lost appetitis and consumed some herbal remedies, but not opium and alcohole. With increasing the symptoms of disease, she consulted a gastroenterologist; who informed that her liver was enlarged C.B.C was normal. But prothromb in time was increased (16 seconds control 12 seconds) Tests for viral hepatitis A, Band C were negative. An esophagogasteroduodenal endoscopic exanimation showed no abnormalities. Utrasonograghy of abdomen revealed diffuse increase in echogenecity of liver as compared with that of kidneys. A computed Tomographic (CT) Scan of the abdomen showed some hepatic lesions that suggested the presence of metastatic disease.!A week before admission in hospital where on further questioning she reported a history of rheumatoid arthritis, from two years earlier, where she has been on methotroxate and non-steroidal anti- inflammatory drugs.Temperature was 3737.5 C°. The pulse was 85 and respirations were 20. The blood pressure was 120/80 mm Hg. On examination, no rash was seen; no cervical and auxiliary lymph nodes were palpated. The lungs on auscultation and chest X. Ray were clear. The heart sound was normal. The spleen was descended below the left costal margin. The liver was no tender and was palpated 3 centimeters below the ribs.There was no edema and ascitis. Lab Tests: Serum level of asparate aminotransferase and alanine transferase were elevated more than two times of maximum normal ranges. Serum alkaline phosphatase and gamma glutamyl transpeptidase were above the normal range. In serum protein ecletrophoresis test; hypoalbuminemia and hypergammaglobulinemia were the significant abnormalities. Total bilirubine was 3.5 with direct bilirubine level of 2 mg per cent. Serum Triglicerid 340 with cholesterol 290mg/dl. Fasting blood sugar 135 mg/dl. In kidney lab tests, a renal dysfunction was seen (creatinin 1.8, mild proteinurea and granulocyte in urine.) CRP +, but ESR and CBC were in normal ranges. Calcium 11.6 mg/dl phosphorus and lipase were normal, uric acid was normal too. The patient admitted in hospital and after some more lab tests a diagnostic proedure was performed on the third hospital day.

Cites

CHRONIC. HEPATITIS. B

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APA: Copy

PANAHI, M., & SHARIFI, D.. (2006). YOUR DIAGNOSIS, PLEASE! A 50 YEARS OLD WOMAN WITH HEPATIC MULTYLESIONS AND MILD JAUNDICE. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, 49(93), 315-316. SID. https://sid.ir/paper/51627/en

Vancouver: Copy

PANAHI M., SHARIFI D.. YOUR DIAGNOSIS, PLEASE! A 50 YEARS OLD WOMAN WITH HEPATIC MULTYLESIONS AND MILD JAUNDICE. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2006;49(93):315-316. Available from: https://sid.ir/paper/51627/en

IEEE: Copy

M. PANAHI, and D. SHARIFI, “YOUR DIAGNOSIS, PLEASE! A 50 YEARS OLD WOMAN WITH HEPATIC MULTYLESIONS AND MILD JAUNDICE,” MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, vol. 49, no. 93, pp. 315–316, 2006, [Online]. Available: https://sid.ir/paper/51627/en

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