I have a diagnosis of Alcoholic cirrhosis child stage C. This was made March 2010 by way of Ct Scan. Grade 3 varices, spenomegally, gall stones, hiatal and unbilical hernias, hepatic encephalopathy and peripheral neuropathy. MELD 12. I think i'm on top of everything but wouldn't mind some other opinions just incase. Thank you for any comments/opinions.
08/17/12 10:18Differentl NUCLEATED RBC: 0 /100_WBC NUCLEATED RBC#: 0.00 thou/mL
08/17/12 10:18Coag PATIENT (PT): 15.3* sec (11.8-14.5) INR: 1.2
08/17/12 10:18BasicMetab Sodium Blood: 138 mEq/L (135-145) Potassium Blood: 4.3 mEq/L (3.3-4.8) Chloride Blood: 103 mEq/L (95-105) Carbon Dioxide Blood: 29 mmol/L (23-30) Urea Nitrogen Blood: 8 mg/dL (5-25) Creatinine Blood: 0.64* mg/dL (0.70-1.50) eGFR: > 60 ml/min/1.73m2 eGFRAA: > 60 ml/min/1.73m2 Glucose Blood: 90 mg/dL (70-110) Calcium Blood: 9.5 mg/dL (8.5-10.5) AN-GAP: 6
08/17/12 10:18CompMetab PROTEIN TOTAL BLOOD: 7.8 g/dL (6.1-8.4) ALBUMIN BLOOD: 4.3 g/dL (3.5-5.0) BILIRUBIN TOTAL BLOOD: 2.9* mg/dL (0.2-1.2) ALKALINE PHOSPHATASE BLD: 86 U/L (40-110) AST: 46* U/L (4-40) ALT: 35 U/L (4-40)
08/17/12 10:18RoutChems Bilirubin Conjugated: 0.7* mg/dL (0.0-0.3)
08/17/12 10:18Virology [Explanatory Table] Intrp: SEE NOTE HEP A IGM RESULT: Negative HEP A TOT AB RESULT: Negative HEP B SURFACE AB: Negative
08/17/12 10:18TumorMarkers [ AFP should be used in conjunction with other clinical and biochemical markers for the diagnosis and monitoring of testicular cancer. AFP may be used in conjunction with ultrasound in high risk patients to aid in diagnosis and monitoring of hepatocellular carcinoma. AFP is not recommended for cancer screening in a general population. ♦ ♦ AFP may be elevated in other conditions including: hepatitis, drug induced hepatic damage, cirrhosis, gastrointestinal cancers, ♦ hereditary tyrosinemias and normal pregnancy. ♦ ♦ This assay is not intended for the prediction of neural tube defects in pregnant women. ♦ ♦ The serum AFP concentration alone does not provide absolute evidence of the presence or absence of malignant disease.] AFP TUMOR: 3.0 ng/mL (0.0-9.9)
08/17/12 10:18Nutrition VITAMIN A (RETINOL): 0.22* mg/L (0.30-1.20) RetPal: < 0.02 mg/L (<_0.11) VITAMIN D 25-OH TOTAL: 37 ng/mL (25-80)
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