62 yers old diabetic male with h/o past mi three years back underwent turn for benign prostatomegaly and two cataract correction surgeries and pterygium excision 12years back at that time only during investigation dam was detected currently c/o reduced appetite lack of test when further investigated found to have increased direct and indirect billurubin with reduced a/g ratio rest all reports are normal their is indirect hyperbillurubinemia with billurubin level of about 2.5 direct billurubin is0.6mg /dl rest left kft RS lipid profile prothrombin time attp coagulation profile. All are normal use done showed changes of cirrhosis in live rot was given tb udiliv sup liv52 tb optineuron and Tab dufole pt is alredy on aspirin 75mg and tb ziten m 20 tab x met trio 2mgfor mi n dam respectively also their is yellowish discolouration of sclera n passage of dark yellow urine since10 months pt is hiv hbv n hcv negative last hba1c done3 months back was 8 .7
So your patient just has a Indirect hyperbilirobinemia and complaint of loss of appetite. How about his CBC?
Ob?? What n it’s not obstructive jaundice read case carefully use showed cirrhosis changes n direct rise is insignificant it’s jst0.6
I think patient is losing blood from GI which can cause hyperbilirobinemia Indirect through enterohepatic circulation and though I can say work up of OB and upper GI should be done maybe secondary to sth. it is happening. Correct me please if I'm wrong.
Blood pressure also check hlac or a1ac ones for sugar concerning heart problems other is a basic blood sugar hypoglycemia is where your blood sugar runs way too low 120 is normal 130is too high
Ok but what can cause cirrhosis is it damage incurred during mi n what about indirect hyperbillurinemia
Dark yellowish urine could be the pill or medicine or possible infection urine sample dipstick and sent too lab for further testing along with blood sample
Or a tumor of the prostate prostate cancer which benign is removable and enlarged means would have too shrink too a removable extractable size with out damaging the prostate gland further
