2022-02-11 03:43:13
A 26 -year-old man. He had jaundiced. The laboratory results as the following :
●GOT: 821 U/L ( up to 40)
●GPT: 985 U/L ( up to 40)
●T- bilirubin: 19.4 mg/dl ( up to 1.0 ).
●D.bilirubin: 13.6 mg/dl ( up to 0.2).
●ALP: 680 U/L ( 60 - 170)
1. Comments on these results?
Comment:
• ALT > 10 X ULN ( > 400 U/L).
• ALP >3 X ULN ( > 510 U/L)
•Total bilirubin very high
2. What the possible causes?
1. Mxd hepatitis( acute hepatitis with Biliary obstruction ).
2. Acute hepatitis with Vitamin D deficiency
3. Acute hepatitis with Bone disease
4. Acute hepatitis with renal failure
4. What the test required for differentiate diagnosis?
●GGT: 50 ( 5–35U/L)
4. Comment on this result?
Comment:
High increased ALT by > 10-fold (> 400 U/L) and ALP by
ALP >3-fold ( > 510 U/L) with mild increased of GGT exclude the cause of mxd hepatitis.
5. What the possible causes?
1. Acute hepatitis with Vitamin D deficiency
2. Acute hepatitis with Bone disease
3. Acute hepatitis with renal failure
6. What the tests required for differentiate diagnosis?
●Creatinine 1.8 ( 1.3 mg/dl
●Urea 130. ( 20 - 50 mg/dl)
7. Comments on these results?
increased of Creatinine and Urea confirm the renal failure and exclude Vitamin D deficiency and bone disease.
5. What the diagnosis?
The diagnosis is acute hepatitis with renal failure.
د.حيدر المعمري
رابط قناه اليوتيوب
https://www.youtube.com/channel/UCI5LcdQiJG0c_vA8eTQE7vw
27 viewsD.Haidar Al-Mamari, 00:43
B
