|
Introduction
Case1:
Vomiting
Case 2:
Cough & fever
Case 3: Bruising
Case 4: Sore
throat
Case 5: Jaundice
Case 6: Flu & fever
Case 7: Diarrhea
Case 8: Black
Robe
Case 9: Back Pain Catching the
beast
Thanks to
Quiz
Please |
|
Ms. JS has
hepatitis.
- She has a febrile illness and is obviously
jaundiced.
- Her CBC is consistent with a viral
illness.
- Increased lymphocyte percentage and
presence of reactive lymphs.
- Her chemistry profile shows elevation of
agents relative to the liver:
- AST is 603 U/L (nl = 5-55)
- Bilirubin
is markedly up at 6.7mg/dL (nl < 1.5)
- Both her GGTP and alkaline phosphatase are
up, but not strikingly so.
|
|
- If we had a biopsy of her liver, it would
certainly show evidence of liver cell necrosis.
- Apoptotic cell (arrow)
- Inflammation and necrosis (circles)
More help in the way of history and labs?
|
 |
Here's how it happened,
and what can go wrong for some people.
Back
|