Syncope with Jaundice

Choledochal Cyst.pdf - Henry Ford Health System Choledochal Cyst.pdf - Henry Ford Health System

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History continued • Labs: INR 6.45, elevated liver enzymes (SGOT: 498.0 U/L; SGPT:306 U/L; T.Billi 22.2 mg/dl; Bili D 11.6 mg/dl; Alk Phos: 1,281 U/L) • A/P • Abdominal US to rule out obstructive jaundice

Findings • Ultrasound with Doppler • Intrahepatic duct and common bile duct dilation • Slightly distended gallbladder with visible sludge • Unable to visualize pancreas • CT of abdomen recommended to visualize pancreas and further evaluation of biliary ducts

History continued<br />

• Labs: INR 6.45, elevated liver enzymes<br />

(SGOT: 498.0 U/L; SGPT:306 U/L; T.Billi<br />

22.2 mg/dl; Bili D 11.6 mg/dl; Alk Phos:<br />

1,281 U/L)<br />

• A/P<br />

• Abdominal US to rule out obstructive jaundice

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