A 46 year old female with upper abdominal pain and abnormal liver functions which show:high bilirubin – is the patient jaundiced?
mild ALP elevation with significant GGT and ALT elevation which suggest a hepatitis like picture with an obstructive component. This is not primary obstructive liver disease.
The patient requires a thorough physical examination and investigations may include;
Bedside – UA, ECG, BSL
Lab – Hepatitis studies, LDH, Lipase, CRP, tumour markers and will be informed by the history and exam findings
Radiology – CXR, USS vs CT