Abnormal liver function found after an unplanned consultation: case progression

doi:10.1136/bmj.329.7461.342

BMJ 2004;329:342 (7 August), doi:10.1136/bmj.329.7461.342

Clinical review

Interactive case report

Abnormal liver function found after an unplanned consultation: case progression

James Heathcote, general practitioner¹

¹ South View Lodge, South View, Bromley, Kent BR1 3DR james.heathcote@gp-G84001.nhs.uk

The first 150 words of the full text of this article appear below.

Last week (31 July, p 273) we presented the case of Mrs Prior,a 40 year old woman who mentioned to her general practitionerthat she had cystitis, itching, and rash while attending herhusband's consultation. The general practitioner examined her,prescribed treatment for the cystitis and rash, and orderedsome blood tests, which showed raised liver enzyme activityand other abnormalities. As a result, he seeks the advice ofthe biochemistry department and is asked to order a furtherblood test for autoantibodies.

He telephones Mrs Prior and tells her that the tests have shownsome abnormalities but that he needs more information and willsee her one week later. At this consultation she is franklyjaundiced and admits to passing dark urine. The presenting symptomsof cystitis and rash are no longer an issue. Examination ofher abdomen again shows no abnormality.

The local wait for an . . . [Full text of this article]

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Diagnosis does not mean treatment: Tina Ambury
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Unbelievable: Declan P Fox
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