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Obstructive jaundice

Obstructive jaundice. I C Cameron. Acute on call. Deranged LFTs, esp Alk Ph and GGT Conjugated Bilirubin high Take a good history Onset, drugs, pain, previous attacks, alcohol, gallstones, pale stools, dark urine, wt loss Look for signs of liver failure USS - gallstones?

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Obstructive jaundice