here's what I got (will only note the abnormal) *reminder - original complaint was ULQ abd pain, some bloating, irregularity, so other symptoms*
Labs:
blood
- WBC 14.9 (3.5-10.6)
-- neutrophils 10.64 (1.5-8)
-- monocytes 1.02 (.2-1.0)
-RBC 6.0 (4.4-5.9)
urine
- ketones 5 (neg)
plasma
- ALT 46 (10-35)
- GAMMA-GTP 53 (0-50)
also, seem to be using an apparently outdated method of Anion Gap - 12.0 (9-18). not sure if that's a red flag or not.
radiology: (non-relevant findings excluded; the rest is roughly verbatim)
- stomach: small sliding hiatal hernia
- kidneys: heterogeneously enhancing mass left renal lower pole 19mm. left interpolar region partially exophytic 7mm hypoattenuating nodule. no hydronephrosis. no renal calculi. Highly suspicious for renal cell carcinoma.
bladder: moderate circumferential bladder wall thickening. recommend clinical correlation with urinalysis to evaluate for cystisis. underlying malignancy cannot be excluded.
- bowel: diverticulosis w/o surrounding inflammation.
there was some other stuff, but not relevant to present concerns. (also note cholesystectomy in '14 -- seems possibly relevant to blood work)
question(s)
I understand the need to wait-and-see for the kidney, especially with no compromise of unine flow. I'm concerned about the bladder, and the fact that nobody mentioned it.
I'm also concerned about my labs. The ketones can easily be explained by the ~4day fast immediately prior to the test. But from my research, the other abnormal results seem to indicate some sort of damage or infection of the liver (possibly the bile duct). yet i was told i was "fine". what gives? The original complaint has slowly improved, but still slightly present. Most of the persistent pain has gone since I started doing
this several times per day; but still feel ULQ pressure when I lay on my left side and still some point-tenderness.
(also note history: up until visit, consumed excessive energy drinks - 4-6 per day - which are loaded to the gills with b vitamins -- basically, I was certainly consuming toxic levels of some of them. 100% abstinence since then)