These results are consistent with a diagnosis of:

Serum chemistry results on a 53-year-old female are
AST: 120 U/L (4–34U/L)
ALT: 185 U/L (5–40 U/L)
ALP: 785 U/L (<165 U/L)
gGT: 225 U/L (5–24 U/L)
Total Bilirubin: 10.8 mg/dL
Direct Bilirubin: 8.6 mg/dL
urine bilirubin: positive
urine urobilinogen: Normal
fecal urobilinogen: decreased

a. Hemolytic anemia.
b. Hepatitis.
c. Dubin-Johnson.
d. Biliary obstruction.


D

Health Professions

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