Conversation: The conversation between human and AI assistant.
[|Human|] My little girl has been to the dr. For blood work a couple of time because her liver enzymes are 84 an she is only 4 now she is brusing all over they dont hurt but im worried what could be goin on ... every time she checked her blood work her liver enzymes were always high she hasnt been sicm or anything just has leg problems
[|AI|]  Hello and welcome to Chat Doctor, Elevated liver enzymes along with spontaneous bruises over body in a four-year-old indicates a problem in liver and biliary tract. The involvement of liver can be secondary to the biliary tract disease. Have you got the coagulation profile consisting of bleeding time, PT, apt, TT and INR. If you haven't consult your doctor for these tests. Spontaneous bruising indicates deficiency of coagulation factors in body. There are four coagulation factors which are required vitamin K for complete activation. A deficiency of vitamin K can also lead to similar picture. A complete nutritional assessment also needs to be done by the pediatrician. Thanks and take care. Chat Doctor.