acute cholecystitis

Question 1

50 yr F , P/W acute RUQ pain ,and in shock , febrile
Deranged LFT , DX of cholecystitis had been made,
What are 4 main historical features that can determine the cause of her abnormalities ?

Answer 1

1- previous hx of gall stone s
2- recent procedure ERCP 
personal or family hx of autoimmune disease ( a risk factor for primary biliary cholangitis )
4- pregnancy 
5- Post prandial pain 
6- pancreatic mass
7- medications

Question 2

Liver enzymes interpretation

ALT increase >10 folds and ALP increase<3 folds

Answer 2

hepatocellular damage

Question 3

ALT increase <10 folds and ALP increase>10 folds , means ?

Answer 3

cholestasis

Question 4

ALT/AST ?

Answer 4

Hepatitic

Question 5

ALP /GGT

Answer 5

Cholestatic