Hey Everyone,
I recently had a blood test/urine test at the VA hospital. It came back with elevated bilirubin. My PC doc scheduled an ultra sound, and a second blood test. Ultrasound revealed an enlarged liver. PC doc now has schedule me for Gastroenterology. Unfortunately, earliest appointment was for September 25th. Any idea what might be going on?
I also tested positive for Hep A, however I have been deployed to Iraq from 07-09. And have been told that once you’ve had a vaccine it will always show positive. HEP B and C came back negative.
Since being told about the enlarged liver, I have become aware of a dull throbbing where my liver is located. Previously, I thought it was just indigestion. Also, nothing symptomatic caused me to go in, I just realized I better start taking care of myself, as far as scheduling doctor appointments.
Also, no AAS
Supplements: Whey, BCAA, creatine, dextrose
Blood test from 2009
Whole Blood:
BAND#(CAL) 0.05 k/cmm 0-0.8 Details
BANDS%(MAN) 1.00 % 0-10 Details
BASO#(CAL) 0.00 k/cmm 0.0-0.2 Details
BASO%(MAN) 0 % 0-2 Details
EOSINO#(CAL) 0.00 k/cmm 0.0-0.3 Details
EOSINO%(MAN) 0 % 0-3 Details
HCT 42.5 % 41-52 Details
HGB 15.1g/dL 13.9-18 Details
LYMPH#(CAL) 1.52 k/cmm 1.2-3.6 Details
LYMPHS%(MAN) 29.00 % 25-33 Details
MCH 32.3 pg 27-33.3 Details
MCHC 35.5 g/dL 31.8-37.1 Details
MCV 90.8 um3 80-98 Details
MONO#(CAL) 0.84 High k/cmm 0.14-0.76 Details
MONO%(MAN) 16.00 High % 3-7 Details
MPV 10.4um3 7.4-10.5 Details
PLATELET MORPHOLOGY Normal Details
PLT 156k/cmm 130-440 Details
PLT ESTIMATE Adequate Details
RBC 4.68M/cmm 4.44-6.1 Details
RBC MORPHOLOGY Normal Details
RDW 12.2% 11.5-14.5 Details
RDW-SD 40.4 fL 39.0-52.2 Details
SEG#(CAL) 2.84k/cmm 1.8-7.8 Details
SEGS%(MAN) 54.00 % 54-65 Details
WBC 5.25k/cmm 4.6-10.8 Details
Plasma 2009:
ALBUMIN 4.5g/dL 3.5-5.0 Details
ALKALINE PHOSPHATASE 62 U/L 0-125 Details
ALT 18 U/L 0-40 Details
AST 17 U/L 0-45 Details
BILIRUBIN,TOTAL 2.1 High mg/dL 0.0-1.3 Details
CALCIUM 9.8 mg/dL 8.4-10.5 Details
CHLORIDE 100 mmol/L 98-108 Details
CO2 34 High mmol/L 23-32 Details
CREATININE 1.2 mg/dL 0.5-1.2 Details
GLUCOSE 82 mg/dL 65-99 Details
Blood Test 2017:
BASO # 0.06 k/cmm 0.0-0.2 Details
BASO % 1.1% 0-2 Details
EOSINO # 0.18 k/cmm 0.0-0.3 Details
EOSINO % 3.2 High % 0-3 Details
GRAN % 45.4 Low % 54-65 Details
GRAN # 2.53 k/cmm 1.8-7.8 Details
HCT 41.8 % 41-52 Details
HGB 14.4 g/dL 13.9-18 Details
IMMATURE GRAN.# 0.01 k/cmm 0.00-0.2 Details
IMMATURE GRAN.% 0.2 % 0.00-2.00 Details
LYMPH % 40.9 High % 25-33 Details
LYMPH # 2.28 k/cmm 1.2-3.6 Details
MCH 32.7 pg 27-33.3 Details
MCHC 34.4 g/dL 31.8-37.1 Details
MCV 95.0 um3 80-98 Details
MONO % 9.2 High % 3-7 Details
MONO # 0.51 k/cmm 0.14-0.76 Details
MPV 10.7 High um3 7.4-10.5 Details
NRBC # 0.00 k/cmm 0-0.2 Details
NUCLEATED RBC/100WBC 0.0%/WBC 0-6 Details
PLT 197 k/cmm 130-440 Details
RBC 4.40 Low M/cmm 4.44-6.1 Details
RDW 12.4 % 11.5-14.5 Details
RDW-SD 43.3fL 39.0-52.2 Details
WBC 5.57 k/cmm 4.6-10.8 Details
Plasma 2017:
AFP 1.13 ng/mL 0-6.2 Details
ALBUMIN 4.8 g/dL 3.5-5.0 Details
ALKALINE PHOSPHATASE 55 U/L 0-125 Details
ALPHA-1-ANTITRYPSIN 104 mg/dL 90-200 Details
ALT 18 U/L 0-40 Details
ANION GAP 10 mmol/L 5-15 Details
AST 16 U/L 0-45 Details
BILIRUBIN,DIRECT 0.3 mg/dL 0.0-0.4 Details
BILIRUBIN,TOTAL 1.9 High mg/dL 0.0-1.3 Details
CALCIUM 9.9 mg/dL 8.4-10.5 Details
CHLORIDE 103 mmol/L 98-108 Details
CO2 29 mmol/L 23-32 Details
CREATININE 1.1 mg/dL 0.5-1.2 Details
FERRITIN 216 ng/mL 30-285 Details
GLUCOSE 89 mg/dL 65-99 Details
IRON 153 ug/dL 45-170 Details
IRON SATURATION 49 % 20-55 Details
POTASSIUM 4.6 mmol/L 3.5-5.0 Details
PROTEIN,TOTAL 7.4 g/dL 6.0-8.2 Details
SODIUM 142 mmol/L 135-145 Details
TIBC 312 ug/dL 235-430 Details
TRANSFERRIN 246 mg/dL 175-340 Details
UREA NITROGEN 19 mg/dL 9-20 Details
eGFR 83 mL/min Details
Also Doctor notes from 2017 Ultrasound:
Findings:
The visualized pancreas is unremarkable, with the tail being
obscured by overlying bowel gas.
The liver is enlarged, with the right lobe measuring 20.3 cm in
length. The echotexture is normal. No hepatic mass identified.
Patency and normal hepatopedal direction of flow were documented
in the main portal vein with Doppler.
The gallbladder is normal with no signs of stones, wall
thickening, pericholecystic fluid, or sonographic Murphy sign.
The spleen is unremarkable, measuring 11.7 cm in length.
The kidneys were not evaluated on this limited exam but seen
sufficiently well to exclude hydronephrosis.
No free fluid in the upper abdomen.
Impression:
1. Hepatomegaly. No hepatic mass identified.
2. Normal gallbladder and bile ducts.