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Your current reports indicate prolonged APTT but normal PT. There are multiple clinical potential reasons for such findings.
1) Inherited cause.
a)Deficiency of factor VIII, IX, or XI.
b)Deficiency of factor XII, prekallikrein, or HMW (high molecular weight) kininogen (not associated with a bleeding diathesis).
c) Von Willebrand disease (variable).
2) Acquired cause.
a) Treatment with Heparin, Dabigatran, Argatroban, direct factor X inhibitors (variable).
b) Acquired factor VIII inhibitor (antihemophilic factor), IX (christmas factor), XI (Hageman factor), or XII (fibrin stabilizing factor).
c)Acquired Von Willebrand syndrome.
d) Lupus anticoagulant.
Have you been treated with any of the medicines mentioned above or diagnosed with any of the diseases mentioned above at any time? Please do not take Aspirin, as mentioned earlier. Please continue with Tablet Montelukast 10 mg and Levocetirizine 5 mg tablet once daily for 15 days.
Your liver functions, including SGOT, and SGPT, are elevated. SGOT and SGPT ratio is greater than 2 (as in your case). This occurs predominantly (70 %) in alcoholic hepatitis and cirrhosis, compared with 26 % of patients with post-necrotic cirrhosis, 8 % with chronic hepatitis, and 4 % with viral hepatitis. Based on the above, please let me know the following.
Did you ever get viral hepatitis (hepatitis A, B, C, D, E) or infective (non-obstructive) jaundice in the past? Repeating the question of whether you had a continued alcohol intake in the past and that may have been discontinued now?
Also, kindly undertake the other tests mentioned earlier, including.
a). USG abdomen and pelvis.
b). Allergen test package.
c). ECG and 2D echocardiography.