SAQ 275 – Gastroenterology – painless cholestatic liver-function abnormalities

A 60-year-old woman presents with several days of pruritus. She is afebrile, has no other significant symptoms, and her observations are normal.

Test	Result	Reference range
Bilirubin	60 micromol/L	1-20
AST	38 IU/L	4-45
ALT	43 IU/L	0-45
ALP	248 IU/L	30-120
GGT	309 IU/L	0-60
Amylase	92 IU/L	25-136
Lipase	74 IU/L	10-140
Creatinine	280 micromol/L	60-110

State the single most likely pathological process explaining these results.

(Marked out of 1.0)

/ 1

List the three (3) most likely causes in this patient.

(Marked out of 3.0)

/ 3

For both ultrasound and abdominal CT, state two (2) advantages and two (2) disadvantages specific to this patient.

(Marked out of 8.0)

Imaging	Advantages	Disadvantages
Ultrasound
Abdominal CT

/ 8

Total Score: 0 / 12

Percentage: 0%