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(Solved): CASE 4 A 40-year-old woman with nausea, vomiting, and jaundice is seen in the clinic. Laboratory ...



CASE 4 A 40-year-old woman with nausea, vomiting, and jaundice is seen in the clinic. Laboratory tests are ordered on blood and urine. The following laboratory results are reported: Hemoglobin: Normal White blood cell count: Normal Serum Bilirubin Total: 6.5 mg/dL Conjugated (direct): 5.0 mg/dL Serum Enzymes Aspartate aminotransferase (AST): 300 U/L (normal: 0-45 U/L) Gamma-glutamyltransferase (GGT): 70 U/L (normal: 0-45 U/L) Alkaline phosphatase: 180 U/L (normal: 0-150 U/L) Urine (appearance is dark brown) Urobilinogen: Normal/decreased Bilirubin: Positive Questions: 1. What is probably the condition of the patient? 2. These results can best be interpreted as representing which of the following? a. Unconjugated hyperbilirubinemia, probably from hemolysis b. Unconjugated hyperbilirubinemia, probably from an injury to the liver cells c. Conjugated hyperbilirubinemia, probably from biliary tract disease d. Conjugated hyperbilirubinemia, probably from an obstruction such as gallstones 3. What are the physical manifestations of the patient;s condition and explain/rationalize as to why the patient experience such.



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