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Thank you. Currently reside in a remote area in Alaska, with limited access to specialists. I am thinking the symptoms are mostly liver and heart related, no real blood, or urine or excessive coughing. Which specific questions or tests would you recommend to prioritize to discover what, if any, disease exist.
Thank you for your work, very informative, will Google the other information for general knowledge. Warm regards, Deby
I would suggest ruling out any haematological disorders with simple tests like a haemogram,Bleeding Time and Clotting Time,A lipid profile, Liver function Tests and urine examination with serum urea/creatinine testing.Since the lung depositions apparently do not need any immediate therapy,it would be best to concentrate on the liver problem.You are already on a low fat diet,regular exercise will help further.The progress will be slow and may take a few months to be apparent.The problem of the subpleural scarring which is presently stable can wait till when you have access to a tertiary care/referral hospital.Clearing up the NAFLD or other causes of increased liver density would help.