MBBS All Subjects Clinical Case Scenarios (Clinical Case Studies)
A 18 year old boy presented with history of loss of appetite, nausea and yellowish discolouration of sclera of 3 days duration. He gives history of low grade fever 4 days prior to this.
His liver function test and urine test reports are as follows:
S. Bilirubin - 5mg %
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SGOT - 100U/L
SGPT - 320U/L
Alk phosphatase – 160 U/L
Urine bile salts and bile pigments - present
Urine - Urobilinogen - absent
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- What is your diagnosis?
- What is your interpretation of urine reports?
- How will you differentiate alcoholic and viral hepatitis?
- What further investigations do you want?
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