Conversation: The conversation between human and AI assistant.
[|Human|] Woman, 38 yrs old, 84 kg. 8 months with right upper quadrant pain, negative Murphy s sign, positive right fist percussion, klebsiella pneumoniae in developing urinalysis ( 100,000 U / ml), 3 cm cyst in right ovary, abdominal and thoracic radiographs normal, hepatomegaly , NSAIDs paracetamol codeine, diarrhea, metrorrhagia , menorrhagia, acalculous gallbladder, loss of 12 kg in the first two weeks, worsens with activity
[|AI|]  Hi and welcome to Chat Doctor, thank you for your query. You need more detailed Gastroenterology work up to evaluate the cause of your liver problem which is the biggest worry about you at this point. You should check your viral marker and do liver biopsy if necessary. It can be also gallbladder issue or pancreatic disease, so you should do at least ct scan and certain blood tests to rule these out. Your other symptoms should be checked by gynecologist but as I said try to find the cause of your raised Lots first. Wish you good health. Regards.