A 70-year-old woman visited her GP complaining of a sore throat, a fever (38.5°C), and recent loss of appetite and tiredness. She reported dark urine and her stools were unusually pale. There was no history of foreign travel and she stated that she abstained from alcohol. No other medication reported. Test Unit Result Reference range Bilirubin µmol/L 68 ≤17 Aspartate aminotransferase (AST) U/L 302 ≤30 Alanine aminotransferase (ALT) U/L 395 ≤37 Alkaline phosphatase (ALP) U/L 295 ≤150 Albumin g/L 39 35-45 Gamma-glutamyltranspeptidase U/L 298 ≤55 Prothrombin time s 12 11-13 Haematology Lymphocytosis noted on blood film Further tests showed positivity for IgM anti-EBV
A 70-year-old woman visited her GP complaining of a sore throat, a fever (38.5°C), and recent loss of appetite and tiredness. She reported dark urine and her stools were unusually pale. There was no history of foreign travel and she stated that she abstained from alcohol. No other medication reported. Test Unit Result Reference range Bilirubin µmol/L 68 ≤17 Aspartate aminotransferase (AST) U/L 302 ≤30 Alanine aminotransferase (ALT) U/L 395 ≤37 Alkaline phosphatase (ALP) U/L 295 ≤150 Albumin g/L 39 35-45 Gamma-glutamyltranspeptidase U/L 298 ≤55 Prothrombin time s 12 11-13 Haematology Lymphocytosis noted on blood film Further tests showed positivity for IgM anti-EBV
Chapter7: Drug Sources, Schedules, And Dosages
Section: Chapter Questions
Problem 19RQ
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A 70-year-old woman visited her GP complaining of a sore throat, a fever (38.5°C), and recent loss of appetite and tiredness. She reported dark urine and her stools were unusually pale. There was no history of foreign travel and she stated that she abstained from alcohol. No other medication reported.
|
Test |
Unit |
Result |
Reference range |
|
Bilirubin |
µmol/L |
68 |
≤17 |
|
Aspartate aminotransferase (AST) |
U/L |
302 |
≤30 |
|
Alanine aminotransferase (ALT) |
U/L |
395 |
≤37 |
|
Alkaline phosphatase (ALP) |
U/L |
295 |
≤150 |
|
Albumin |
g/L |
39 |
35-45 |
|
Gamma-glutamyltranspeptidase |
U/L |
298 |
≤55 |
|
Prothrombin time |
s |
12 |
11-13 |
|
Haematology |
Lymphocytosis noted on blood film |
Further tests showed positivity for IgM anti-EBV
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