Question

A 55-year-old man has routine blood tests. He is asymptomatic. Results show: Bilirubin 45 µmol/L (<21), ALP 350 IU/L (30-130), GGT 400 IU/L (<55), ALT 60 IU/L (5-40), AST 55 IU/L (5-40). What is the most likely pattern of liver injury and the next appropriate investigation?

Accepted Answer

Cholestatic injury; Liver ultrasound

Answer

Hepatocellular injury; Hepatitis serology

Answer

Hepatocellular injury; Autoimmune screen

Answer

Cholestatic injury; MRCP

Answer

Mixed injury; Liver biopsy

Practice question

A 55-year-old man has routine blood tests. He is asymptomatic. Results show: Bilirubin 45 µmol/L (<21), ALP 350 IU/L (30-130), GGT 400 IU/L (<55), ALT 60 IU/L (5-40), AST 55 IU/L (5-40). What is the most likely pattern of liver injury and the next appropriate investigation?