A 50 years old patient presented with progressive jaundice. Liver function test was done in which conju!gated serum bilirubin-4.8% and total bilirubin-6.7%, alkaline phosphatase- 550 IU, SGOT-50, SGPT-65. Most probable diagnosis is;
Correct Answer: Jaundice due to choledocholithiasis
Description: Answer- A. Jaundice due to choledocholithiasisThe maximum bilirubin level is seldom >256.5 micromol/L (15.0 mg/dl) in patients wilh choledocholithiasis unless concomitant hepatic disease or anotherfactor leading to marked hyperbilirubinemia exists.'-Harrison I8/e p2625.'Serum bilirubin levels >342.0 micromol/L (20 mg/dL) should suggest the possibility of neoplastic obstruction.'-Harrisonl8/e p2625CholedocholithiasisCBD stones should be suspected in any patient with cholecystitis whose serum bilirubin level is >85.5 micromol/L (5 mg/dL).The maximum bilirubin level is seldom >256.5 micromol/L (15.0 mg/dl) in patients with choledocholithiasis.
Category:
Medicine
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now