physical examination The main findings on physical examination were icteric sclerae ●and mild skin icterus as well as dark blood in the rectal ampulla
physical examination • The main findings on physical examination were icteric sclerae • and mild skin icterus • as well as dark blood in the rectal ampulla
laboratory tests demonstrated a moderate elevation of her bilirubin with 4.7 mg/dl (direct bilirubin: 4.5 mg/dl) liver enzymes with alkaline phosphatase of 127U/1, ·AST197U/I 。ALT469U/1
laboratory tests • demonstrated a moderate elevation of her bilirubin with 4.7 mg/dl (direct bilirubin: 4.5 mg/dl) • liver enzymes with alkaline phosphatase of 127 U/l, • AST 197 U/l • ALT 469 U/l
ultrasound examination To further delineate the underlying problem an ultrasound examination was performed which demonstrated a fluid collection in the gallbladder fossa and a dilation of the intra-and extrahepatic biliary tree
ultrasound examination To further delineate the underlying problem an ultrasound examination was performed • which demonstrated a fluid collection in the gallbladder fossa • and a dilation of the intra- and extrahepatic biliary tree
4V1 H3.0MHz 160 Abdomen TRANS LIVER LT General 85dB s1/+1/片 Gain= 2dB $8 Dilated intrahepatic biliary tree
4V1 H3.0MHz 140 Abdomen CHD General 85dBs1/+1/2 Gain=10dB S16 Dilated common hepatic duct and fluid collection in gallbladder fossa