Questionnaire - Page 3(d) of 9
(1077 maximum possible questions)		 Last updated: May 12, 2008

THE ANALYST TM
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Symptoms: liver. Questions about liver enzyme tests are asked later.
316.  Do you have cirrhosis of the liver?
No / don't know
Mild
Moderate
Serious
Severe
317.  Is your liver enlarged?
Don't know
No
Mildly
Moderately
Severely
318.  Do you have Hepatitis B or Hepatitis C?
Don't know
No, tests are negative for both
Diagnosed with it, but few if any symptoms
Current significant problem
Current severe problem
319.  Have you been diagnosed with a fatty liver?
Don't know
No, no fatty deposits were found
It is suspected
Somewhat fatty
Very fatty
320.  Have you been diagnosed with Gilbert's Syndrome, a condition characterized by a chronically elevated serum bilirubin level?
Don't know
I know for sure I do not have it
In the past, now in normal range
Moderately elevated
Very elevated

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GLOSSARY

Cirrhosis:  A long-term disease in which the liver becomes covered with fiber-like tissue. This causes the liver tissue to break down and become filled with fat. All functions of the liver then decrease, including the production of glucose, processing drugs and alcohol, and vitamin absorption. Stomach and bowel function, and the making of hormones are also affected.

Enzymes:  Specific protein catalysts produced by the cells that are crucial in chemical reactions and in building up or synthesizing most compounds in the body. Each enzyme performs a specific function without itself being consumed. For example, the digestive enzyme amylase acts on carbohydrates in foods to break them down.

Fatty Liver:  Accumulation of triglycerides in the liver.

Hepatitis B:  A serious viral infection with the potential for long term consequences. It is caused by a DNA virus that has been found in virtually all body secretions and excretions. However, only blood, saliva, semen and vaginal fluids have been shown to be infectious. Transmission occurs through sexual contact, blood-to-blood contact (blood products, needle sharing, etc.), and from infected mother to infant. Virtually all affected infants and children, and many adults, receive a lesser, even symptom-free, infection. Symptoms, when present, tend to be more severe and prolonged than those for Hepatitis A: initially flu-like, with malaise, fatigue, muscle pain and chest pain on the right side. This is followed by jaundice (slight skin yellowing), anorexia, nausea, fatigue, pale stools, dark urine and tender liver enlargement, but usually no fever.

Hepatitis C:  Caused by an RNA flavivirus. Transmission is predominantly through broken skin on contact with infected blood or blood products, especially through needle sharing. Sexual transmission is relatively rare. Symptoms are almost always present, and very similar to those for Hepatitis B: initially flu-like, with malaise, fatigue, muscle pain and chest pain on the right side. This is followed by jaundice (slight skin yellowing), anorexia, nausea, fatigue, pale stools, dark urine and tender liver enlargement, but usually no fever.

Serum:  The cell-free fluid of the bloodstream. It appears in a test tube after the blood clots and is often used in expressions relating to the levels of certain compounds in the blood stream.



 


A man gets a telephone call from a doctor. The doctor says: "About this medical test I did on you, I have some good news and some bad news."
The man asks for the good news first: "The good news is that you have 24 hours to live," says the doctor.
Horrified, the man asked: "If that is the good news, then what is the bad news??"
"I couldn't reach you yesterday!"