68 year old female presents to ED c/o nausea and dizziness. Patient reports having a headache 2 weeks previously associated with dizziness.
Headache resolved after a few days, however the patient continues to complain of dizziness especially on getting up. Background history of Breast CA on hormone modifying drug. Denies drugs. Consumes 1 standard drink daily
Examination – Vitals within normal limits. No postural drop
Jaundiced sclera.
Normal GCS, no hepatic flap
Abd – unremarkable examination
Blood results:
Bilirubin – 236 umol/L (<16)
ALP – 371 U/L (30-110)
GGT- 542 U/L (<36)
ALT – 3247 U/L (<36)
ALB – 41 g/L (36-48)
TP – 70 g/L (60-80)
INR 2.0
- Describe and interpret the above blood results
- What further investigations would be needed to assess the cause and complications of this case?