A 34 year old male patient with elevated total bilirubin (2.49 mg/dl), bilirubin direct (0.51 mg/dl) and indirect bilirubin (1.98 mg/dl) in serum reported mild back right pain from 3 week. Very Light yellow urine. Nail not yellow colored. Appetite normal. Their liver marker enzymes SGOT, SGPT and ALP are normal. What is the problem associated with this condition and how manage this condition.
Can we have the rest of the labs please FBC LDH reticulocyes blood film
Indirect hyperbilirubineamia could be secondary to heamolysis. needs full assessment.
Probably due to my field of work, I would tend to work this patient up for gallbladder disease. The primary symptom that leads my thought is the right back pain. Although the information @Adil Al-Harthi requested may influence my thoughts but with what is presented, I would tend towards gallbladder.
All blood cells normal in range. However ESR greatly increased 32 mm/1st hr (normal value 00 -10). Hepatitis B & C negative. Bilirubin level gradually increasing. Apetitte normal.
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