As you can see from the patients labs:
ALP > ALT OR AST
Elevated ALP indicates cholestasis (elevated GGT confirms liver source) and normal bile ducts on ultrasound therefore INTRAHEPATIC CHOLESTASIS.
SEE SCHEME FOR DIFFERENTIAL DIAGNOSIS.
74
98
13
36.6
133/73
Male patient presents with abnormal tests (below).
Lab Results
ALT: 21 - Normal range between 1 to 60 U/L
AST: 16 - Normal range between 8 to 40 (male), 8 - 32 (female) U/L
ALP: 241 - Normal range between 30 to 145 U/L
GGT: 188 - Normal range between 11 to 63 (male), 8 - 35 (female) U/L
Investigations
Ultrasound report: no abnormal findings
Partially Correct
Scheme by: Developed by Kelly W. Burak (modified 2014), Reference: AGA, Gastroenterology 2002; 123(4): 1367-84
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Kelly W. Burak
kwburak@ucalgary.caKelly W. Burak, MD, FRCPC, MSc (Epid): Associate Dean, CME&PD; Director, Southern Alberta Liver Transplant Clinic