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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Right Upper Quadrant Pain, Positive Right Fist Percussion, Klebsiella Pneumoniae, Ovarian Cyst, Hepatomegaly, Diarrhea, Metrorrhagia, Menorrhagia, Acalculous Gallbladder, Severe Weight Loss. Suggestions?

Woman, 38 yrs old, 84 kg. 8 months with right upper quadrant pain, negative Murphy s sign, positive right fist percussion, klebsiella pneumoniae in developing urinalysis ( 100,000 U / ml), 3 cm cyst in right ovary, abdominal and thoracic radiographs normal, hepatomegaly , NSAIDs paracetamol codeine, diarrhea, metrorrhagia , menorrhagia, acalculous gallbladder, loss of 12 kg in the first two weeks, worsens with activity
posted on Sat, 5 Jan 2013
Twitter Sun, 27 Oct 2013 Answered on
Twitter Mon, 28 Oct 2013 Last reviewed on
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General Surgeon,  's  Response
Hi and welcome to HCM,thank you for your query.
You need more detailed gastroenterologic work up to evaluate the cause of your liver problem which is the biggest worry for you at this point. you shoul dcheck your viral marker and do liver biopsy if necessary. It can be also gallbaldder issue or pancreatic disease so you should do at least ct scan and certain blood tests to rule these out.your other symptoms should be checked by gynecologist but as i said try to find the cause of your raised LFts first.

Wish you good health. Regards.
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Right Upper Quadrant Pain, Positive Right Fist Percussion, Klebsiella Pneumoniae, Ovarian Cyst, Hepatomegaly, Diarrhea, Metrorrhagia, Menorrhagia, Acalculous Gallbladder, Severe Weight Loss. Suggestions?

Hi and welcome to HCM,thank you for your query. You need more detailed gastroenterologic work up to evaluate the cause of your liver problem which is the biggest worry for you at this point. you shoul dcheck your viral marker and do liver biopsy if necessary. It can be also gallbaldder issue or pancreatic disease so you should do at least ct scan and certain blood tests to rule these out.your other symptoms should be checked by gynecologist but as i said try to find the cause of your raised LFts first. Wish you good health. Regards.