Talk to General Physician on Condition Assessment And Subsequent Testing And Treatment
Asking for Mother, Female, 63 years old, Karachi
Patient profile: Female, 63Y, Hypertensive, Arthritis (probable, have to consult), Gallbladder removed.
My mother's Hepatitis B surface antigen (HBsAg attached) test came back 'Reactive' after a complete check-up she had last month. Doctor advised (Advice.1 attached) following further test to assess her condition (all 3 attached) which we did before next follow-up 1. Hepatitis B Viral Load (Quantitative) 2. Hepatitis Be Antigen 3. Hepatitis Delta Antibody.
Based on second follow-up from DOW University's GI Department, doctor advised following additional tests, with no treatment plan shared yet 1. Prothrombin Time (PT) 2. Alpha Feto Protein (AFP) 3. Albumin 4. HDV-RNA by PCR (Quantitative) 5. Fibro Scan.
I looked up all the tests over internet and test 4 and 5 make sense for further diagnosis. I need guidance regarding the rationale of other 3 tests and withholding treatment until their results (keeping in view the current test results and diagnosis sta
asa looking to be a case need further and final diagnosis which is deemed
I think dr is slightly away from diagnosis
send complete history and test which can decide the case or send pt with complete medical records
Patient
Post Owner
Attached the advice and reports. I think my post was exceeding character limit so my question wasn't recorded till end.
I need guidance on relevance of test 1-3 and dependence of their result in starting treatment and also how quickly should we start the treatment. Thank you.
Dr. Ishtiaq Mughal - General Practitioner
MBBS, FCPS Resident Doctor | Islamabad
u need to see a gastroenterologist.. actually when hepatitis is diagnosed with antigen antibody tests then we need some additional tests before commencing just follow their advice or meet any senior gastroenterologist in person
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