Answered: The laboratory technologist noticed as…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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Question

2. The laboratory technologist noticed as he was placing the serum sample cup into the automated chemistry instrument that the serum appeared to have When the results of the chemistry test for this patient appeared on the screen, the technologist saw that the total bilirubin for this patient was increased and that other liver function tests were also abnormal. The technologist reviewed the laboratory results on this patient from the past several days. Among the following choices, what is the most probable diagnosis? Refer to the laboratory results and rationalize your answer.

a. Gilbert’s syndrome

b. Gallstones

c. Dublin–Johnson syndrome

d. Non-alcoholic fatty liver disease

e. Obstructive Jaundice

Test Results of the Patient With the Icteric Specimen
Test
Reference Range
Results
Day 1
Day 2
Total protein (g/dL)
Albumin (g/dL)
Total bilirubin (mg/dL)
Direct bilirubin (mg/dL)
ALT (U/L)
Alkaline phosphatase (U/L)
GGT (U/L)
AST (U/L)
Amylase (U/L)
6.4-8.3
7.4
7.2
3.5-5.2
4.4
4.1
0.0-2.0
3.5
3.6
0.0-0.2
2.3
2.1
<45
220
208
53-128
374
380
<55
178
170
<38
190
176
28-100
94

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