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A 70-year-old woman visited her GP complaining of a sore throat, a fever (38.5°C),  and recent loss of appetite and tiredness. She reported dark urine and her stools were unusually pale. There was no history of foreign travel and she stated that she abstained from alcohol. No other medication reported. Test Unit Result Reference range Bilirubin µmol/L 68 ≤17 Aspartate aminotransferase (AST) U/L 302 ≤30 Alanine aminotransferase (ALT) U/L 395 ≤37 Alkaline phosphatase (ALP) U/L 295 ≤150 Albumin g/L 39 35-45 Gamma-glutamyltranspeptidase U/L 298 ≤55 Prothrombin time s 12 11-13 Haematology Lymphocytosis noted on blood film     Further tests showed positivity for IgM anti-EBV

A 70-year-old woman visited her GP complaining of a sore throat, a fever (38.5°C),  and recent loss of appetite and tiredness. She reported dark urine and her stools were unusually pale. There was no history of foreign travel and she stated that she abstained from alcohol. No other medication reported. Test Unit Result Reference range Bilirubin µmol/L 68 ≤17 Aspartate aminotransferase (AST) U/L 302 ≤30 Alanine aminotransferase (ALT) U/L 395 ≤37 Alkaline phosphatase (ALP) U/L 295 ≤150 Albumin g/L 39 35-45 Gamma-glutamyltranspeptidase U/L 298 ≤55 Prothrombin time s 12 11-13 Haematology Lymphocytosis noted on blood film     Further tests showed positivity for IgM anti-EBV

Biochemistry
Biochemistry
9th Edition
ISBN:9781319114671
Author:Lubert Stryer, Jeremy M. Berg, John L. Tymoczko, Gregory J. Gatto Jr.
Publisher:Lubert Stryer, Jeremy M. Berg, John L. Tymoczko, Gregory J. Gatto Jr.
Chapter1: Biochemistry: An Evolving Science
Section: Chapter Questions
Problem 1P
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 A 70-year-old woman visited her GP complaining of a sore throat, a fever (38.5°C),  and recent loss of appetite and tiredness. She reported dark urine and her stools were unusually pale. There was no history of foreign travel and she stated that she abstained from alcohol. No other medication reported.

Test

Unit

Result

Reference range

Bilirubin

µmol/L

68

≤17

Aspartate aminotransferase (AST)

U/L

302

≤30

Alanine aminotransferase (ALT)

U/L

395

≤37

Alkaline phosphatase (ALP)

U/L

295

≤150

Albumin

g/L

39

35-45

Gamma-glutamyltranspeptidase

U/L

298

≤55

Prothrombin time

s

12

11-13

Haematology

Lymphocytosis noted on blood film

    

Further tests showed positivity for IgM anti-EBV

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