A 21-year-old male patient reported to the clinic with jaundice. He reported that he went through a lot of stress in the previous week due to academic pressure.
## Medical examination – No abnormality detected## Healthy, well-built, with normal vital signs No vomiting, abdominal pain, diarrhea, bleeding, or alteration of the mental status No systemic manifestations of chronic liver disease## Medical history Repeated episodes of jaundice in the past four years, often associated with stress and intermittent illnesses The last two episodes of jaundice were triggered by an upper respiratory tract infection and mild dyspepsia Laboratory investigations ## Complete blood count (CBC) – Normal## Hemoglobin – 16.8 gm/dl Mean corpuscular volume (MCV) – 87 fl. WBC count – Normal Platelet count – 233,000 No indication of hemolysis## ## Enzyme assay – Normal## Lactate dehydrogenase (LDH) – 127 IU/l…
