Kevin Pho, MD  
Male
Boston - MA

Specialties: Internal Medicine

Interests: Gastroenterology

Kevin Pho, MD
Boston - MA
9 year girl with decreased cognitive ability, lethargy, puffy face, hair loss
Jul 17, 2008 09:54AM in the Undiagnosed Symptoms Expert Forum
Can't say without evaluation. I agree with the MRI. Such an acute change would require an exclusion of infectious causes. It is likely that the blood work your daughter had would have ruled this out. Overdoses or poisonings should also be considered given the relative acuity of the symptoms. A referral to a neurologist should be done. If an infec...
Elevated LFTs normal abdominal ultrasound
Jul 17, 2008 09:52AM in the Gastroenterology Expert Forum
I agree with the testing thus far, including the ultrasound. I would obtain blood tests to exclude hepatitis. Abstaining from alcohol is recommended, and you may want to ask your physician about the effects the supplements and medications have on the liver. If the liver enzymes continue rise, a liver biopsy can be considered if they reach 3x the upper ...
problems from bites
Jul 16, 2008 10:02AM in the Undiagnosed Symptoms Expert Forum
Difficult to say without knowing what bit you. Any insect bite makes you susceptible to an infection, so this should be evaluated and treated for. If there is joint pain and accompanying fatigue, you have to consider the possibility of tick bites and subsequent Lyme disease. Blood tests can be done to exclude this. These options can be discusse...
My sketchy boyfriend
Jul 16, 2008 10:00AM in the Undiagnosed Symptoms Expert Forum
I agree that there is a possibility for STDs, including HIV. I would be tested. HIV, gonorrhea, chlamydia, herpes, syphillis and obtaining a urinalysis are all reasonable options for initial testing. If there you are experiencing any suspicious symptoms, like urethral discharge, or the development of any lesions, they need to be looked at and possi...
Help?
Jul 16, 2008 09:53AM in the Gastroenterology Expert Forum
I agree with the workup thus far. Further evaluation with an upper endoscopy is reasonable at this point - looking for GERD as well as masses/polyps that can lead to the symptoms. A lump in the throat is commonly caused by GERD. Other possibilities can include post-nasal drip from sinusitis. A more specialized test to consider would be a gastric em...
upper abdominal pain
Jul 16, 2008 09:51AM in the Gastroenterology Expert Forum
The tests you had doesn't point to a significant GI disease. With the continuing diarrhea, a colonoscopy normally would be the next step. This would exclude inflammatory bowel disease or anatomical causes for the loose stools. Sending the stool off for malabsorption analysis can be done, as well as blood tests for celiac disease. If the test remain...