A young lady 35 yrs tribal patient came in OPD with nausea, epigastric pain, vomitting. o/e bp 110/70, pulse 78/min, ictrus ++++, GC Stable Lab reports done at other labs are as follows, SGPT 3488 on 14/6 On 16/6 --SGPT 2866 S Blirubin 12.8. direct 8.3, indirect 4.5 HBsAg Positive. zHb11, wbc 9200 in urine bsbp present.
On 18/6---SGPT 1356 S. bill--14.1, direct 8.0, indirect 6.1 on 21/6---SGPT 1302 S.bill 17.6 , direct 9.5, indirect 801 on 23/6-- SGPT 1207, s.bil 19.1, direct 11.0, indirect 8.1 USG on 16/6 showing HEPATOMEGALY WITH THICKENED WALL GB WITH EDEMA USG on 21/6 showing HHEPATOMEGALY WITH CONTRACTED GB WITH EDEMA. There is history of BLD TRANSFUSION 10 Yrs back in her 1st delivery. As patient was REFF to Higher Medical Center, my question is Why Billirubin was not coming to normal instead SGPT is showing improvement?
