Contributed by Valerie A. Holst, MD and Sheldon Bastacky, MD
Published on line in January 1997
PATIENT HISTORY:
The patient is a 59 year-old male status post orthotopic liver transplant in 6/93 secondary to HCV now with increasing LFTs and weight loss admitted for percutaneous liver biopsy. Patient resides in Pennsylvania with his wife and has a 40 pack-year smoking history.
His vital signs were stable and he was afebrile. The lungs were clear bilaterally and the heart had a regular rate and rhythm. His abdomen was soft, nontender, nondistended with active bowel sounds. No adenopathy was noted.
LABORATORY VALUES:
White blood cell count | 5x109/L |
Hemoglobin | 12 g/dl |
Hematocrit | 35.7% |
Platelets | 119x109/L |
Total bilirubin | 1.6 mg/dl |
Alkaline phosphatase | 269 IU/L |
Gamma glutamyltransferase | 221 IU/L |
Aspartate aminotransferase | 222 IU/L |
Alanine aminotransferase | 339 IU/L |