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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Ultrasound Test Determine In High Cholesterol Patients?

My son is a 40 year old African American who was recently diagnosed with:High Cholesterol...Total Cholesterol 257Pre-Diabetes...A1c 6.5 BP 137/70 Height: 6 ft. 2 in. wt 310 lbs.Repeat alkaline phosphatase = 145 Hx of Asthma dating back to age 6...with Pneumonia 3 x s before age 5 yrs.Family Hx: Diabetes, Hypertension, Congestive Heart problems, Cancers (Breast, Colon),Thyroid Disease, Kidney Disease etc.An ultrasound of the GB and Liver has been ordered based on lab tests. My question is what in particular are these ultra sounds looking for and how should my son prepare for these test?Thank you for you reply!
posted on Sun, 19 Oct 2014
Twitter Wed, 18 Nov 2015 Answered on
Twitter Thu, 19 Nov 2015 Last reviewed on
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Cardiologist,  's  Response
Hello!

Welcome and thank you for asking on HCM!

I understand your concern and would explain that the abdominal ultrasound is necessary to examine for possible liver structure changes or abdominal lymph nodes .

Alkaline phosphatase is present in a number of tissues including liver, bone, intestine. Serum alkaline phosphatase is elevated in 2 main groups of conditions:
-hepatobiliary disease (including obstruction from the stones, etc.)
-bone disease associated with increased osteoblastic activity.

So it is important an ultrasound to investigate for possible liver or billiary ways lesions.

There is no special preparation before an ultrasound. But if the urinary tract is going to be examined, you should drink a lot of water before, in order for the urinary bladder to be full. This would help for better echographic images.

Hope to have been helpful!

Best regards!

Dr. Iliri
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What Could Ultrasound Test Determine In High Cholesterol Patients?

Hello! Welcome and thank you for asking on HCM! I understand your concern and would explain that the abdominal ultrasound is necessary to examine for possible liver structure changes or abdominal lymph nodes . Alkaline phosphatase is present in a number of tissues including liver, bone, intestine. Serum alkaline phosphatase is elevated in 2 main groups of conditions: -hepatobiliary disease (including obstruction from the stones, etc.) -bone disease associated with increased osteoblastic activity. So it is important an ultrasound to investigate for possible liver or billiary ways lesions. There is no special preparation before an ultrasound. But if the urinary tract is going to be examined, you should drink a lot of water before, in order for the urinary bladder to be full. This would help for better echographic images. Hope to have been helpful! Best regards! Dr. Iliri