Findings:
Hemoglobin: 5g/dl (Reference range: 13.0 – 17.0g/dl); RBC: 3.09
(Reference range: 4.2 – 6.0 10˄6/ul); Platelets: 86
(Reference range: 150.0 – 500 10˄6/ul); HCT: 17.3%
(Reference range: 39.0 – 52.0 %); MCV: 56fL (Reference range: 76.0 –
100.0fL).
Liver function tests demonstrated slightly elevated Aspartate
aminotransferase (AST), total bilirubin and direct bilirubin. Total
protein and Globulin also appeared reduced. All other enzymes including
albumin were within normal limits.
Findings :
AST: 38.8 U/L (Reference range: 0.0 – 35.0 U/L); Total Bilirubin: 22.6
umol/l (Reference range: 2.0 – 21.0 umol/l); Direct Bilirubin: 12.6
umol/l (Reference range: 0.0 – 3.5 umol/l); Total Protein: 62.0g/L
(Reference range: 64.0 – 83.0g/L); Globulin: 21.8 g/L (Reference range:
25.0 – 31.0g/L).
Hepatitis B Surface Antigen (HBSAG) was negative and Renal function
tests were within normal limits.
After the laboratory investigation, the patient was referred to the
radiology unit for an abdominal ultrasound for further evaluation.