A 53-year-old man notices the whites of his eyes seem a bit…
A 53-year-old man notices the whites of his eyes seem a bit yellow, there is swelling in his abdomen, and he is often fatigued. He tells his physician that he enjoys “a few” martinis every night and sometimes more on the weekend. Upon physical examination, the physician notes decreased weight, elevated blood pressure, jaundice, and ascites, and laboratory results indicate decreased albumin, low platelet count, increased prothrombin time, and increased serum liver enzymes with AST activity higher than ALT. All viral hepatitis and cholestasis testing are negative. What is the likely diagnosis?
Read DetailsA 24-year-old female presented to the ED with nausea, vomiti…
A 24-year-old female presented to the ED with nausea, vomiting, and jaundice. The physician ordered a chemistry profile and a urinalysis. The following abnormal results were noted.Total Serum Bilirubin = 7.9 mg/dL [0-1.0 mg/dL]Conjugated Serum Bilirubin = 5.8 mg/dL [0-0.5 mg/dL]AST = 276 U/L [0-50 U/L]ALP = 148 U/L [0-150 U/L]Urine bilirubin = 1+ [Negative]Urobilinogen = 1 mg/dL [Normal]Determine the type of bilirubin present and the most likely cause of the elevated results.
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