Interpret and correlate the patient’s laboratory results. 2. Discuss the possible causes of jaundice in this patient. 3. What part of the bilirubin pathway is severely affected? Explain. 4. What other serum enzyme/s can be used to assess the patient’s condition? Explain.
A 30-year-old woman arrives at the outpatient department complaining of nausea and vomiting. The patient seems to have jaundice as well. Blood and urine tests are ordered in the laboratory. The following are the results collected from the testing:
• Complete Blood Count
o Hemoglobin:Normal
o WBCcount:Normal
• Serum Bilirubin
o Total:7.0mg/dL
o Conjugated:6.0mg/dL
• Serum Enzymes
o AlanineTransaminase(ALT):330U/L
o AlkalinePhosphatase(ALP):195U/L
• Urinalysis
o Appearance:Darkbrown
o Bilirubin:Positive
o Urobilinogen:Decreased
ANSWER THE FOLLOWING:
1. Interpret and correlate the patient’s laboratory results.
2. Discuss the possible causes of jaundice in this patient.
3. What part of the bilirubin pathway is severely affected? Explain.
4. What other serum enzyme/s can be used to assess the patient’s condition? Explain.
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