SAQ 1394 – Epigastric pain and fever with abnormal liver tests

A 54-year-old man presents to ED with epigastric abdominal pain and fevers for 24 hours. Some blood results are shown.

Test	Result	Reference range
Protein	88 g/L	60-80
Albumin	32 g/L	35-50
Globulin	55 g/L	25-45
Bilirubin	88 umol/L	<20
Conjugated bilirubin	62 umol/L	<4
ALP	540 U/L	30-110
GGT	503 U/L	<38
ALT	190 U/L	<34
AST	181 U/L	<31
LDH	415 U/L	120-250
Lipase	120 U/L	<70

Explain the protein, albumin and globulin results.

(Marked out of 1.0)

/ 1

Explain the bilirubin results.

(Marked out of 1.0)

/ 1

Explain the ALP, GGT, ALT and AST results.

(Marked out of 1.0)

/ 1

State the most likely diagnosis.

(Marked out of 2.0)

/ 2

You decide to perform further radiological investigation. List two pros and two cons for each listed investigation.

(Marked out of 8.0)
Investigation | Pros | Cons<br /> CT scan | |<br /> Ultrasound scan | |

/ 8

Total Score: 0 / 13

Percentage: 0%