what is the cure for Mild Hepatomegaly with Grade II Fatty Infiltration

complete tear of ACL near femoral attachment.High grade tear of LCL near femoral attachment with contusion of the popliteal tendon.MCL grade -2 tear,the meniscpo-femoral/menisco tibial ligaments are likely torn.impacted,mildly depressed fractures of the anterior aspect of the lateral femoral condyle and posterial aspect of the lateral tibial condyle.Moderate joint effusion, fluid extends into baker's cyst and supra-patellar recess.plz help to understand the seriousness of this case...

how serious is it fatty frade 2 no pathological symptoms

GOOD MORNING SIR,I NAVEEN KUMAR,I AM JUST 25 YEARS OLD.I AM SUFFERING FROM HYPERTENSION FROM 2 MONTHS,I USED STAMLO BETA FOR HYPERTENSION,TWO WEEKS BACK I MET A CARDIOLOGIST,IN THAT TIME MY BP170/100.PREVIOUSLY IT WAS CONTROLLED BY STAMLOBETA.DOCTOR WROTE FOR ECG&ECHO TEST,ECG TELLS THAT 'RBBB.'&ECHO TELLS THAT MILD CONCENTRIC LVH.OTHERWISE NORMAL.DOCTOR PRESCRIBE BP MEDICATIONS CHANGED FROM STAMLO BETA(ATENALOL+AMOLDOPINE)TO METXL-O(METOPROLOL+OLMESARTAN)&SAID THAT NOTHING TO WORRY ,RBBB&MILD CONCENTRIC LVH WILL BE REGRESS.BUT MY BP WAS NOT CONTROLLED ALL THE DAY IT IS RAISED AT NIGHT TIME.TELL ME YOUR SUGGESTION&IS RBBB&LVH REGRESSED,IF WITH CONTROLLED HYPERTENSION?&I HAVE DONE COMPLETE MASTER HEALTH CHECK UP,ALL ARE NORMAL.TELL ME SUGGESTION PLEASE.THANKS®ARDS,NAVEEN KUMAR.

Name – Biman Das Age – 28 years Indian origin, stays in Bangalore, India. 9th July 2012 - hemoglobin electrophoresis suggestive of Homozygous Hemoglobin E disease Complaint – Weakness since 1year. Hi…. Below are the complete tests I have done two days back….. Blood Urea Nitrogen – 11.00 mg/dl Serum Creatinine – 1 mg/dl Serum Glucose – 94 mg/dl SERUM LIVER FUNCTION TEST Billirubin Total – 1.30 mg/dl Billirubin – direct – 0.30 mg/dl SGOT/AST (P5P, IFCC) – 63.00 IU/ml SGPT/ALT (P5P, IFCC) – 142.00 IU/ml ALP – 74 IU/ml Total protein – 7.80 g/dl Serum Albumin – 4.90 g/dl Serum Globulin – 2.90 g/dl ALB/GLOB Ratio – 1.69 g/dl SERUM TSH (ECLIA) – 6.240 IU/mL COMPLETE BLOOD COUNT WBC – 9300.00 /cu.mm RBC – 6.15 million/cu.mm Hemoglobin – 11.90 g/dl Haemotocrit (PCV) – 37.00 % MCV – 61.00 fL MCH – 19.40 Pg MCHC – 31.30 g/dl Platelet count – 135000.00 /Cu.mm DIFFERENTIAL COUNT Neutrophils – 52 % Lymphocytes – 43 % Monocytes – 3.00 % Eosinophils – 2.00 % ESR – 4.00 /1st hour. PERIPHERAL SMEAR EXAMINATION RBC’s – Show moderate anisopoikilocytosis, are microcytic hypochromic with few eliptocytes, target cells. WBC’s – Leucocytes are normal in total count and distribution Plateletes – Plateletes are reduced. Macroplateletes noted. Impression – Microcytic hypochromic blood picture with thrombocytopenia. (Kindly correlate with serum iron,TIBC, ferritin and Hb variant analysis [To rule out hemoglobinopathy]) OTHER TESTS – Routine Urine analysis – All values are normal ECG – Normal study X-Ray of chest – PA View – Normal Study MY HABBITS – Non veg 3 days a week Beer – 3 days a week( 700ml per day) drinking since 10 years. Smoking – 12 cigarettes per day (Smoking since 10 years). More Anxiety and less physical activities. Last one year I am inside my house, just for half an hour I go outside in the morning. MY HISTORY AND TESTS DONE EARLIER – History of acidity, constipation and digestion. 9th July 2012 - Haemoglobin electrophoresis suggestive of Homozygous Haemoglobin E disease. 16th October 2012 - Ultrasound of liver – Fatty Liver 18th October 2012 – Liver function test – All values are normal 18th October 2012 – Pulmonary test – Normal spirometery 18th October 2012 – Complete Haemoglobin – Haemoglobin 12.5 gm/dl, WBC – normal in number and morphology, RBC – Anicocytosis with microcytic hypochromic erythrocytes, mild polychromasia, elliptocytes and taget cells, platelets- adequate Please let me know is it very serious and also let me know some medicines and diet... Regards Biman Das

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