Serum chemistry results on a 53-year-old female are
AST: 120 U/L (4-34U/L)
ALT: 185 U/L (5-40 U/L)
ALP: 785 U/L (

Question

Serum chemistry results on a 53-year-old female are
AST: 120 U/L (4-34U/L)
ALT: 185 U/L (5-40 U/L)
ALP: 785 U/L (<165 U/L)
?GT: 225 U/L (5-24 U/L)
Total Bilirubin: 10.8 mg/dL
Direct Bilirubin: 8.6 mg/dL
Urine bilirubin: positive
Urine urobilinogen: Normal
Fecal urobilinogen: decreased
These results are consistent with a diagnosis of:

Quizplus · Accepted Answer

The elevated levels of ALP and ?GT, along with significantly increased total and direct bilirubin and positive urine bilirubin, are indicative of biliary obstruction. These findings suggest an issue with bile flow, which is consistent with the symptoms of biliary obstruction rather than the other options listed.

Serum Chemistry Results on a 53-Year-Old Female Are