by Doc Gino
Sa kolum na ito, ating tatalakayin ang mga pang-araw-araw na karamdaman na maaaring dumapo kanino man. Nasa inyong pagpapasiya kung nais ninyong sundin ang payo ng inyong abang lingkod. Bisitahin ang kanyang blog site: http://doctorsronline.blogspot.com/
Doubtful of Laboratory Results
Tanong: I would like to ask about these results of SGOT/SGPT:
Oct. 20, 2010 – SGPT 276.0 U/L
Oct. 21, 2010 – SGPT 140 U/L ; SGOT 8505 U/L
Oct. 23, 2010 – SGOT 2249.0 U/L
Oct. 26, 2010 – SGPT 461.0 U/L ; SGOT 388.0 U/L
Is this a possible result of machine error or uncalibrated machine? Should the Medical Technologist check first on their machine before releasing the results since this can complicate the condition of any patient that doesn't even manifest signs of chronic liver disease?
Also, if a patient has PTB, is it right to give rifamficin high dose if they see that the patient has hepatomegaly? or should the doctors treat first the first disease before this?
If it happens that the patient realizes that she/he doesn't have both diseases (2nd opinion on a good hospital) but several treatments has been done to her/him which complicated his/her condition especially if he's diabetic, what should the patient do? Thanks in advance.
Doc Gino: It is routine that laboratories calibrate their machines. If you suspect that the results do not match the clinical picture of a patient, you may ask the same laboratory to run a second test preferably using the same specimens. Another laboratory may be opted if the results from the same lab are still highly questionable.
Anti-Koch's treatments are usually modified depending on the condition of a patient. A person with liver problem may be given another anti-TB drug that has little effect on the hapatocytes.
Diabetes is a particularly trivial disease particularly when uncontrolled because it causes multiple organ failure.