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Liver slide seminar. UPDATE ON LIVER BIOPSY By Dr Ranjini Kudva Professor & Head Dept of Pathology Kasturba Medical College, Manipal, Manipal University
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Liver slide seminar
Dr Ranjini Kudva Professor & Head Dept of Pathology
Kasturba Medical College, Manipal, Manipal University
Case 1
• 35 male
• Fever, jaundice, abdominal pain -10 days
• Nausea & Vomiting +
• O/E Liver palpable 2cms
• T Bilirubin – 3 mg/dl, DB -2.5 mg/dl
AST- 850 U/L, ALT- 1200 U/L
ALP - 130 U/L
TP- 7.2 gm/ dl, Alb-4.8 gm/dl
Case 2
• 28 year old pregnant lady
• Fever, generalised weakness & vomiting – 2 wks
• Worsening of symptoms with deep jaundice – 3 days
• Patient drowsy, jaundice ++
• T Bilirubin -18 mg/dl , D B-16.2 mg/dl
• AST – 700 U/L ,ALT 820 U/L, ALP- 120 U/L
• TP-6.2 gm/dl, Alb- 4.8 gm/dl ,
• PT-prolonged
Case 3
• 42 male • Fatigue and weakness – 8 months • Abdominal pain- 2 months • O/E Liver + 3 cm, spleen tip palpable T Bilirubin- 2 mg/dl ,DB- 1.6 mg/dl AST- 60 U/L, ALT-80 U/L, ALP-68 u/L T P- 6.2mg/dl, Alb-3.0 gm/dl HBS Ag + IgG anti HB c +
Case 4
• 3 year boy
• Abd distension, vomiting ,abd pain
• O/E jaundice +
• Mass palpable Rt upper quadrant
Case 5
• 37 male
• Presented to GEC OPD with burning sensation abdomen – 2 weeks
• On investigation - chronic gastritis
• Incidentally detected hepatomegaly
• TB- 2 mg/dl
• AST & ALT- 45 U/l, ALP -150 U/l
Case 6
• 3 month old girl child with jaundice and dark coloured urine
Full Term Normal Delivery with normal birth wt
O/E Hepatomegaly + mild
TB- 5.8mg/dl , DB- 5mg/dl
AST & ALT-120 U/L, ALP- 650 U/L
Case 7
• 45 year lady
• Fatigue, jaundice, pain and swelling knee joint 2 months
• Anorexia and abd pain – 2 weeks
• Liver palpable - 2 cm
• TB-2 mg/dl, DB- 1.5 mg/dl
• AST & ALT – 70 U/L, ALP- 100 U/l
• TP-8.4 gm/dl, Alb – 3.2gm/dl, Glob 5.2 gm/dl
Case 8
• 2 weeks old male baby
• Poor feeding, jaundice and dark urine
• Full Term Normal Delivery,
• small for gestational age
• TB 2.5 mg/dl , DB- 2 mg/dl
• AST 350 U/L, ALT 380 U/L, ALP-102 U /L
• TP- 7.5 mg/dl, Alb-4.5 mg/dl
Case 9
• 24 yr primigravida in 34 th week
• Nausea, repeated vomiting 10 days
• Abd pain & Jaundice – 7 days
• O/E BP- 130/90 mm Hg
• TB- 5 mg/dl, DB- 4.5 mg/dl
• AST & ALT – Normal , ALP- Normal
• PT & APTT- prolonged
Case 10
• 55 year lady
• Burning sensation abdomen – 3 weeks
• O/E- Hepatomegaly +
• TB- 0.3 mg/dl.
• ALT-14 U/L, AST-17 U/L
• TP- 6.7gm/dl, Alb- 3.09 gm/dl, Glob- 3.6 gm/dl
• ALP- 233 u/l, GGT- 557 u/l
• HIV- Nonreactive
Case 11
• 79 year male
• Abd pain on & off – 3 years,
• Abd distension +
• TB- 0.4 mg/dl
• AST 21 IU/L, ALT -24 IU/L ,ALP-69 U/L
• TP -7.6 gm/dl, Alb 4.4gm/dl, Glob-3.2gm/dl
Case 12
• 7 month old female baby
• Abd distension
• Large lobulated hetrogenously enhancing mass
• AFP > 30,000 IU/ml
• Well circumscribed mass 9x9x8 cm
Case 13
• 32 year male
• Chronic renal disease on Treatment
• Hypertensive
• TP-6.3gm/dl, Alb 3.27gm/dl
• ALT 8 IU /L , AST 10 IU/L ,ALP102 U/L
• TB- 0.2mg/dl, DB-0.1mg/dl
• S creat-8.9 mg/dl
• HB-5.0 g/dl