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Differential diagnoses

by DENISE, Sep 24, 1999 12:00AM
Hx:  7/99 began itching.  8/24 began flu like illness.  Aches, 101 temp., nausea, vomiting.  8/27 jaundiced. 8/29 hives began and began 4 day course of prednisone which resolved hives, aches and temp.   Now right sided tenderness, continued 100.2 fever, aches.  Prior history thyroiditis.  Had itching with it.  Two episodes meningoencephalitis, etiology unknown.  



9/6 labs:  HEPATIC PANEL:

           albumin normal

           TOTAL BILI 8.2 mg/dL

           Direct Bili 7.6 mg/dL  

           Alkaline Phosphatase 614 U/L

           AST 452 U/L

           ALT 411  U/L



           CBC

           Platelets 114

           Neutrophil 15

           Lymphocytes 77  2+ atyp

           ABS lymphocyte 7.6



           CSF

           Total Protein 57 mg/dL



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