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Mahmoud Hindawi

Mahmoud Hindawi

Licensed Doctor

الأسئلة المجابة 27495 | نسبة الرضا 98.6%

Doctor

Dear doctor, my 17 year old got cold and cough on...

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Dear doctor, my 17 year old got cold and cough on Feb 3rd. On 13 th Feb i took him to hospital for high fever . Blood test done. Mild infection was there. Started abtibiotic. Fever reduced in 1 day. But in the blood test platelet was only 69000. Done all test Dengue, Malaria etc. Negative. After 4 days again checked the platelet count it was 90000. Again after 2 weeks it was 83000. Again after 6 weeks, it became 70000. Did liver function test. Liver enzymes were elevated. But albumin, globulin and all normal. All scanning including MRI and MRCP done . They r telling it is Liver cirrhosis.But liver is functioning normal. Spleen is enlarged. Found 2 moderate varices .ANA, ferritin, ceruloplasmin, Anti LKM negative. Waiting for alpha1 antitrypsin and anti smooth muscle. He is very normal and active. No symptoms. What could be the reason? Doctor pls reply to my email sseappen@hotmail.com. pls dont show it to public.

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إجابة الخبير: Mahmoud Hindawi

Mahmoud Hindawi

Mahmoud Hindawi

Licensed Doctor

الأسئلة المجابة 27495 | نسبة الرضا 98.6%

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What are the causes of low platelt count ?


1.increase destruction of platllet in spleen due to pooling in enlarged spleen which enlargd due to the portal hypetensin which resulat from liver disease 
2.decreased the production from bone marrow due to thrombobioten defect due to chronic liver liver disease 

What are the types for liver disease ?

1.chronic inflamatory process from hepatieties B  C   D   A
2.autoimmune hepatities 
3.fatty liver 
4.alcoholic liver 

What are the investigation ?

1.liver enzyme ALT AST 
2.bilirubin total and direct 
3.ELISA PCR for viral load 
4.HBVe HBVc AG  AB 
5.HCV ag and ab 
6.autoimmune antibody 
7.liver ultrasound 

How to treatment ?

1.platelt transfer 
2.plasma tranfer 
3.treat the above mentioned cause 
4.avoid alcohol 
5.avoid any drugs toxic to liver 
6.prednisolone for ITP 
7.splenectomy 

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إسأل Licensed Doctor

Mahmoud Hindawi

Mahmoud Hindawi

Licensed Doctor

الأسئلة المجابة 27495 | نسبة الرضا 98.6%

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