A Case Study of Jaundice Zelda Shapiro

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LFT’s • AST 98 IU/l (11-47 IU/ l) • ALT 102 IU/l (7-43 IU/l) • Alk Phos 345 IU/l (38-126 IU/l) • Bilirubin • Total 6.0 mg/dl (0.2-1.3 mg/dl) • Direct 5.4 mg /dl (0.0-0.2 mg/dl)
LFT’s • What do the Elevations <strong>of</strong> AST, ALT, and Alkaline Phosphatase Mean? • How do Direct and Total Bilirubin Differ? • What are their Sources?
Page 1 and 2: A Case Study of Jaundice Zelda Shap
Page 3 and 4: Presentation • You see Mrs. Shapi
Page 5 and 6: PQRST--QST • It’s been there be
Page 7 and 8: Questions • Would you ask the Pat
Page 9 and 10: She Says: • I had some fever last
Page 11 and 12: Past History • Past Medical Histo
Page 13 and 14: Questions • Anything you need to
Page 15 and 16: Behaviors • Caffeine: Six cups of
Page 17 and 18: Questions • Is there anything abo
Page 19 and 20: Questions • How would you approac
Page 21 and 22: GI Review of Systems • Intermitte
Page 23 and 24: What’s Next?
Page 25 and 26: Vital Signs • Temperature: 102 o
Page 27 and 28: Physical Examination Eyes: Conjunct
Page 29 and 30: Question • What causes the Skin a
Page 31 and 32: Physical Examination • Heart: Hea
Page 33 and 34: Physical Examination • Ascultatio
Page 35 and 36: Physical Examination • Rectal: --
Page 37 and 38: Other Information • What Labs do
Page 39: CBC • WBC 14.6 X 10 3 /mm 3 (4-11
Page 43 and 44: Urinalysis • Appearance: dark yel
Page 45 and 46: • What is Charcot’s Triad? Ques
Page 48 and 49: Labs • What Other Tests May be Ne
Page 50 and 51: Treatment • What options for Trea

A Case Study of Jaundice Zelda Shapiro

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