17 yo Healthy male; 4 days Abd pain and Nausea. 2 days Fever. Brought to UC. CT shows Hepatomegaly and Sludge in GB. No stones. Elevated White count ( do not have #) Mono spot is Neg. Neg for Appy as well. Any Ideas?? MDs have not done Lymes yet.
HelloHepatomegaly may be due to many reasons like hepatitis, alcohol intake, metabolic disorder, obesity,medicines,autoimmune causes etc. Sludge in gall bladder may be due to many cause like prolong fasting, strict dieting etc. Sludge in gall bladder may cause calculus formation. Enlarged liver is generally a reversible condition.It is often reverses with treatment of underlying cause. Elevated WBC count may indicate infection. You may need clinical correlation and antibiotics. Get well soon. Take Care Chat Doctor.