5.0 of 6 Ratings
A 32-year-old female presents to the emergency department with abdominal pain and new onset itching all over. The patient has experienced recurrent abdominal discomfort, but was unable to get care due to lack of insurance. More recently, she has noticed the onset of pale-tan colored stools, and dark yellow urine. Vitals are T 101.0 F HR 93 bmp BP 126/93 mmHg RR 15 rpm SpO2 98% On physical exam, sclera are notably icteric. Abdominal exam demonstrates right upper quadrant and epigastric tenderness without guarding or rebound. Endoscopic retrograde cholangiopancreatography (ERCP) is shown in Figure A. Large elevations in which of the following lab markers are most likely present?
Elevated AST and ALT
Elevated indirect billirubin
Elevated alkaline phosphatase
Elevated Anti-mitochondrial antibodies
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