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.