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Forum Name: Nephrology Symptoms

Question: Interpretation of test results


 grinaldi - Sat Apr 10, 2004 11:25 am

My husband, age 52, on tricor for ><8 months, alcoholic (drinks daily), has the following results (doctor indicates he will want more tests). Need an interpretation of whether these could be an indicator of not only renal malfunction but could they also indicate a cirrhotic liver:

urea nitrogen =29
creatinine = 1.7
bun creatinine ratio=17.1
cholesterol total=237
HDL = 37L
Chol/HDL ratio=6.4
LDL calculated=137
triglycerides=317

ast, alt, bilirubin in range

What could this mean? My husband has gained 30 - 40 lbs in the past year, has sleep apnea, looks bloated, color off and has dark circles around his eyes. What wld a doctor be testing for next?

Thanks for any help.
 Dr. Yasser Mokhtar - Wed Apr 21, 2004 11:53 pm

User avatar Dear Grinaldi,

Liver cirrhosis is a descriptive term which means that the liver is fibrotic (scarred), it does not necessarily mean that the patient who has cirrhosis has liver failure clinically meaning that it is not used to describe the function of the liver.

In addition to clinical stigmata of liver failure which are many, liver functions are tested by doing a coagulation profile and an albumin level in the blood. Also, an ultrasound of the liver is a dependable imaging technique to visualize the liver and see its size and texture and know whether it is cirrhotic or not.

A normal bilirubin is an indication that the liver is working enough to clear the bilirubin of the blood but this is not the earliest function to be affected by liver failure.

Thank you very much for using our website http://doctorslounge.com and i hope that this information helped.

Yasser Mokhtar, M.D.

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