Contributed by Valerie A. Holst, MD and Sheldon Bastacky, MD
Published on line in January 1997
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.
|White blood cell count||5x109/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|