75 yr old female c/o itching all over the body ,yellowish discoloration of eye and urine since 20 days.k/c/o T2DM,HTN on medication

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There is raised ALP with choledocholithiasis Raised leucocytosis suggest infective hepatocellular damage Xray chest rt dome is pulled up and trachea is pulled to rt Basal haziness bilateral Overall infective hepatitis sos pancreatitis with ccf

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Hepatocellular jaundice.adv rule out alcoholic hepatitis,hbsag,antihcv.usg abdomen.xray bilateral basal haziness.

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Elevated alkaline phosphatase And elevated Direct bilirubin R/O obstructive jaundice.. kindly do bilesalt bile pigment... ultrasound or CT abdomen can helpful....

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Is she a pt of CLD?go for usg w/a

No sir..no such history ,viral markers are negative. Usg done now shows choledocholithiasis
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Agree with Dr Shivshankar Sir

Go for usg it must be obstuctive jaundice as alkaline phoshate increase may be pancreties start liv52pan d udiliv glucosedo usg for obstructive or jaundice other cause

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