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Do you take any medicine?
An antiboitic for UTI. She had a ureteral stent put in
Do you have any other previous illness?
Suffering from kidney stones, and PCOS
Her PTT is a bit high
Yes the clinic did not want to risk a ESWL given we are in the UAE
Procedure can be done in big hospital where medicines can be used if any bleeding episode occur.
This was his recommendation
we will go to Bumrungrad in Bangkok
With this level, there may not be any bleeding.
she is Thai
But a risk is there.
So we should take precaution.
I'm more concerned about why her PTT is hig
and if this is an indication of liver desease or
cancer or something
she had a cist seen on an ultrasound
on her liver
the doctors said it was nothing
Where was the cyst?
on the liver
Liver disease can cause high PTT but her level is not very high.
How are other liver enzyme levels?
I think doctor has checked, there should not be any problem.
the ER report describes a "small cyst about 8mm in size and a well defined hyperechoic lesion about 10 mm
on the right hepatic lobe
Common cause can be Vitamin K deficiency.
she has very healthy thai diet
lots of greens
Liver enzymes can be checked if they are not checked earlier.
Do the other factors (MCV MCH and MCHC) being low have possible indication
They indicate anemia.
There can be low iron level.
She has been drinking 4+ liters of water daily since finding the kidney stones
These can be checked.
will that effect her vitamen intake
Drinking more water is good.
No, water does not harm.
Iron, Vitamin supplement can be needed.
She can have an appointment with a hematologist.
If there’s anything else I can do, please let me know.
Liver cyst can be normally found in many cases.
Follow up ultrasound will be needed to check whether it is changing.