Lab case 448 Interpretation

Question 1:

We should consider ascending cholangitis in any patient with fever and features of obstructive jaundice till prove otherwise.

The diagnosis of ascending cholangitis is a clinical diagnosis. Classic Charcot triad of abdominal pain, fever, and jaundice seen only in about 40% of patient.

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Lab Case 448

75 year old lady presented to the emergency department after a fall. In ED she was found to be slightly febrile with blood pressure of 95/55. Part of the investigation performed was LFT   and it showed the following:

Bilirubin = 101  umol/L     (< 16)

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