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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is MRCP And ERCP Needed For SGOT Being 331, SGPT 170, Alk Phos 1035, Total Bili 12.6 Amd Pm HIV Medicines?

If a patient has a sgot of 331, sgpt of 170, alk phos 1035, total bili of 12.6, direct bili of 11.7 and has been on HIV meds, does he need a MRCP and ERCP or can he be worked up as an outpateint with a primary consideration being given to Hep B or Hep C and medication use..
Fri, 21 Feb 2014
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General & Family Physician 's  Response
Hi and thank you so much for this query.

I am so sorry to hear about these elevated numbers on your liver function tests They are not an indication for E/MRCP right now. More evaluation is needed to pinpoint the cause before making the decision whether these advanced endoscopic measures are need for diagnostic and therapeutic purposes. Cause like viral infections, autoimmune disorders, drugs, alcohol etc need to be investigated first. Also an uttrasound would guide the decision making process.

I hope this addresses your query fully. Thank you so much for patronizing our services and please do feel free to ask for follow up clarifications and information if need be. I wish you the best of health.
Dr. Ditah, MD.
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Is MRCP And ERCP Needed For SGOT Being 331, SGPT 170, Alk Phos 1035, Total Bili 12.6 Amd Pm HIV Medicines?

Hi and thank you so much for this query. I am so sorry to hear about these elevated numbers on your liver function tests They are not an indication for E/MRCP right now. More evaluation is needed to pinpoint the cause before making the decision whether these advanced endoscopic measures are need for diagnostic and therapeutic purposes. Cause like viral infections, autoimmune disorders, drugs, alcohol etc need to be investigated first. Also an uttrasound would guide the decision making process. I hope this addresses your query fully. Thank you so much for patronizing our services and please do feel free to ask for follow up clarifications and information if need be. I wish you the best of health. Dr. Ditah, MD.