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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Had URQ Pain, Nausea, Chest Pressure. Done Lab Test. What Is Wrong?

My 9 year old daughter was brought to the ED at 0515 with URQ pain, nauseau and chest pressure. The ED doctor dismissed it as nothing wrong. Her labs showed elevated AST (73) ALT (63) and slightly elevated glucose (105), WBC (10.3) and %Neut (77). She had 5 episodes of the same pain throughout the day. I am concerned because they don t want to pursue anything, I don t believe a 9 year old should be writhing in pain if nothing is wrong with her. I am wondering if I should push to have an US of her gallbladder and liver
posted on Fri, 28 Sep 2012
Twitter Fri, 28 Sep 2012 Answered on
Twitter Sun, 30 Sep 2012 Last reviewed on
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Pediatrician, Cardiology 's  Response
Hello
Pain in RUQ with nausea may be due to hepatitis or cholecystitis( calculous or acalculous) or pancreatitis. AST and AST both are towards higher side suggestive of some liver inflammation. As pain is severe and persisting USG upper abdomen may give clue for GB, liver or pancreatic inflammation.
Regards
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Child Had URQ Pain, Nausea, Chest Pressure. Done Lab Test. What Is Wrong?

Hello Pain in RUQ with nausea may be due to hepatitis or cholecystitis( calculous or acalculous) or pancreatitis. AST and AST both are towards higher side suggestive of some liver inflammation. As pain is severe and persisting USG upper abdomen may give clue for GB, liver or pancreatic inflammation. Regards