Question

A 55-year old male presents chills and a slight fever. The patient also complains of pain in the upper right quadrant. The following laboratory results were obtained on a blood sample taken from the patient.

Cholesterol 240 mg/dl

Alkaline phosphatase 220 U/L (Normal 30 – 95)

Total bilirubin 19.0 mg/dl

Direct bilirubin 17.5 mg/dl

ALT 20 U/L (normal 6 –37)

AST 24 U/L (normal 5-30)

5’-Nucleotidase slightly elevated

1. What tests are abnormal?

2. What organ function do most of these tests reflect?

3. What would the indirect bilirubin value be?

4. What is the most likely cause for the increased bilirubin when looked at in

conjunction with the other laboratory results?

Answer 1

0 Bilirubin tests are abnormal 1 Total bilirubin must be of ool to 1.2 mg/dL but in tests it is 19.0 mg/dl Direct bilirubin must be of less than 0.3 mg/dL but in tests it is 17.5 mg/dl @ Liver function is mostly reflected: High bilirubin is called as hyperbilrubinemia. ® Indirect biluubin - Total bilirubin - direct bilioni 1 bin levels 1 = 19.0 mg/dL - 17:5 milde Indirect biluubin= 1.5 mildl -9 Increases Bilisubin is due to liver damage or disease Bilirubin is by the RBC breakdown which result in Jaundice and it may also caused by Gilbert's syndrome which is harmless as it is an enzyme deficiency, which coill break bilirubin in body.