60 year old female presents with severe right upper quadrant pain, fever, nausea and vomiting.

Vitals –

BP 110/60

PR 120/min

RR 24/min

T 38

Describe and Interpret

Hb 120 g/l

WCC 13.4               N 10.1

Plt  300

Total protein 76

Alb 40

ALP 560

ALT 800

GGT 250

Bilirubin 60