Haematology
Case 8: A Patient with Intermittent Abdominal Pain and Mild Jaundice
CASE
A 25‐year‐old woman presents to her GP with intermittent abdominal pain over the last few years. The pain is generally localized to the right hypochondrium and is made worse when she eats a fatty meal. Her bowel habits are normal and she has never passed blood in her stools. Her appetite and weight are steady. On examination, she was mildly jaundiced. She had no lymphadenopathy but her spleen was just palpable at 1–2 cm below her left costal margin. On direct questioning, she reports that her mother also has slightly yellow eyes.
Blood tests showed:
Hb 10.2 g/dL MCV 102 fL WCC 6.3 × 109/L Platelets 275 × 109/L Electrolytes Normal Bilirubin 55 µmol/L (unconjugated) ALT 25 U/L ALP 110 U/L
QUESTION 1
Your score this session: 0 of 0
What is the significance of the unconjugated hyperbilirubinaemia?