Thursday, 28 October 2010

Not all elevated ALT and bile acids are cases of OC

I learnt from a patient who was having hence pt has had bile acids done which showed upward trend. Initially it was 30 went up to 70 and then to 90 at 30 weeks of gestation.

Similar story with AST, went from 50 to 120 to 240 to 600.

After two weeks all these levels start falling and pt started feeling better.

Looking backwards, it appears that pt probably suffered viral infection and accordingly levels went up and with slow recovery the levels of AST and Bile acides declined.

So do not panick to deliver based on the levels

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