A 37-year-old woman who thinks she might be pregnant visits her physician with a complaint of upper right quadrant pain.Blood samples are obtained.Increased enzyme activity was seen for ALP,AST,lactate dehydrogenase (LD),and GGT.The ALP was 10 times higher than the upper reference limit.A hepatitis panel and a pregnancy test had negative results.Gel electrophoresis was done to separate ALP isoenzymes,with a dense liver band and what appeared to be a diffuse placental band.If this woman's physician has ruled out pregnancy,activity of what other serum enzyme could be measured to differentiate between hepatobiliary disease and liver disease?

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The Answer of A 37-year-old woman who thinks she might be pregnant visits her physician with a complaint of upper right quadrant pain.Blood samples are obtained.Increased enzyme activity was seen for ALP,AST,lactate dehydrogenase (LD),and GGT.The ALP was 10 times higher than the upper reference limit.A hepatitis panel and a pregnancy test had negative results.Gel electrophoresis was done to separate ALP isoenzymes,with a dense liver band and what appeared to be a diffuse placental band.If this woman's physician has ruled out pregnancy,activity of what other serum enzyme could be measured to differentiate between hepatobiliary disease and liver disease?

A 37-Year-Old Woman Who Thinks She Might Be Pregnant Visits