Clinical Review Interactive case report

Abnormal liver function found after an unplanned consultation: case progression

BMJ 2004; 329 doi: (Published 05 August 2004) Cite this as: BMJ 2004;329:342
  1. James Heathcote (, general practitioner1
  1. 1 South View Lodge, South View, Bromley, Kent BR1 3DR

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

    He telephones Mrs Prior and tells her that the tests have shown some abnormalities but that he needs more …

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