13th August 2020

A 30-year-old male presents with worsening jaundice

A 30-year-old male presents with worsening jaundice. He has a background of hepatitis B, which has been stable for years under the care of the gastroenterology team. On examination, there is right upper quadrant tenderness. Investigations revealed raised bilirubin with ALT of 500 IU/L (normal range 3-40IU/L) and ALP of 90 IU/L (normal range 30-100 IU/L).

For the patient above, please select the SINGLE most likely diagnosis. Select ONE option from the list above.