A 40 year old lady has ALP of 550, SGOT of 75, total serum Bilirubin = 6.5mg% and conjugated serum bilirubin of 4.3mg%. The diagnosis of patient is:
Marker Normal value Interpretation Alkaline phosphatase 20-140 IU/L ELEVATED SGOT 5-40 units per liter Mild elevation Total serum bilirubin 0.3-1.2mg/dl Elevated Conjugated serum bilirubin 0.1-0.4mg/dl Elevated If only serum bilirubin is elevated and conjugated serum bilirubin is > 15% of total bilirubin then suspect Dubin Johnson and Rotor's syndrome If ALP is elevated with serum bilirubin proceed to USG to evaluate for cause of obstructive jaundice.
Dubin Johnson syndrome
Obstructive jaundice
Viral hepatitis
Cholelithiasis
Liver