Conversation: The conversation between human and AI assistant.
[|Human|] Abnormal liver function test with gall stones and an enlarged spleen Hello, my name is Bob and im 27 year old female with liver enzyme tests of 264 and 452, they keep going up and i just say a specialist today who said my ultra sound showed gall stones and an enlarged spleen, i tested positive for mono today also. my question is, as soon as i got home i started noticing a severe cramp like pain running from my left ankle up to my knee, on the inside . this is a new symptom, and the doctor is keeping an eye on my liver levels with a standing blood order to check my levels at all times, she says it may be auto immune hepititis . So what does this leg pain mean?
[|AI|]  From the history given by you, we could think the leg pain you are mentioning could be part of an autoimmune hepatitis. The Infectious Mononucleosis can also cause these symptoms you mentioned. The elevated liver enzymes and splenic enlargement point towards autoimmune hepatitis. To confirm the tests such as Serum antismoothmuscle Antibody, Anti-Nuclear Antibody and serum protein electrophoresis and quantitative Immunoglobulins. It is not common for an Infectious mononucleosis infection occur along with autoimmune hepatitis. Regarding the Gall stones they should be untouched unless they cause clinical symptoms and signs like Jaundice and Pain. Check if there is increase in direct bilirubin due to Obstruction.