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I am Dr.R.K and I am pleased to assist you.
Please upload the ultrasound scan report and the previous CMP.
Patient replied :
The ultrasound scan is scheduled for this Friday. I have attached the last CMP reports. The 5/21/15 date is the day I was admitted for the renal failure and the most recent two have been follow-ups. Also I made a mistake as I am only 28 years old patientold not 38
Thanks for providing the additional information.
I went through your CMP reports.
There is only a recent raise in the ALT levels.
The A/G ratio is more than 1 which means you do not have chronic liver disease.
Liver is not the only source of AST and ALT.
These enzymes can raise after strenuous exercise also.
I would advise you to get USG scan of the abdomen, PT/INR, Hep B, Hep C, autoimmune and metabolic disease work up and CPK done.
This would help you know whether the source is liver or muscle and if it is from liver what the cause it.
You can repeat the liver panel after four weeks.
Let me know if you have any more questions.