A 65 year old lady presented with history of pain abdomen and progressive jaundice of 1 month duration. On examination she was deeply jaundiced and per abdominal examination gall bladder was palpable.
Her liver function test reports are as follows:
- Total bilirubin was 16mg%
- Conjugated bilirubin was 13mg%
- SGOT - 62u/L
- SGPT - 72u/L
- Alkaline phosphatase - 600U/L
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Prothrombin time was Control - 14 sec Test - 24 sec
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- What is your diagnosis?
- What urine test will you ask in this patient and what do you expect?
- What investigations may be required to confirm the diagnosis?
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