10-20-2014, 02:44 PM
A 32 yr Jewish woman presents to clinic complaining that her 'face has turned yelloe over the last 3 days' .She has no other concern at this time.She began taking oral comtraceptive two weeks ago. Her medical history is otherwise significant for acne vulgaris and dysmenorrhea.
Lab and hep study result;
Albumin: 3.9g/dL
Direct bilirubin 4.4mg/dL
ALP: 3.1mg/dL
AST: 32 U/L
ALT: 30 U/L
HBsAg: NEG
Anti-HBsAg: POS
Anti-HbcAg: NEG
Anti-HAV IgM & IgG: NEG
Anti-HCV: NEG
Liver of pat shown here http://i.imgur.com/4qBfagZ.png?1
DX?
a)Rotor synd
b)Gilbert synd
c)Crigler-najjar synd
d)Dubin Johnson synd
e)Liver steatosis secondary to oral contraceptive usage
____________________________________________________________72sec @sarah
Lab and hep study result;
Albumin: 3.9g/dL
Direct bilirubin 4.4mg/dL
ALP: 3.1mg/dL
AST: 32 U/L
ALT: 30 U/L
HBsAg: NEG
Anti-HBsAg: POS
Anti-HbcAg: NEG
Anti-HAV IgM & IgG: NEG
Anti-HCV: NEG
Liver of pat shown here http://i.imgur.com/4qBfagZ.png?1
DX?
a)Rotor synd
b)Gilbert synd
c)Crigler-najjar synd
d)Dubin Johnson synd
e)Liver steatosis secondary to oral contraceptive usage
____________________________________________________________72sec @sarah
I want u to go back on 1st q w temi and think again.