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17th March 2024
A 40 year old female presents to the emergency department with epigastric pain and yellowing of the skin
A 40 year old female presents to the emergency department with epigastric pain and yellowing of the skin. On examination, she is afebrile and haemodynamically stable. Bloods revealed the following:
| Hb M(135-180g/L) F(115-160g/L) |
11 | Creatinine (55-120 umol/L) |
108 |
| WBC (4.0-11.0 * 10⁹/L) | 6.2 | eGFR | >90 |
| Neutrophils (2.0-7.0 * 10⁹/L) | 4 | ALT (3-40 iu/L) | 87 |
| Platelets (150-400 * 10⁹/L) | 120 | ALP (30-100 umol/L) | 189 |
| Eosinophils (0.1-0.4 * 10⁹/L) | 0.5 | AST (3-30 iu/L) | 36 |
| Na (135-145 mmol/L) | 138 | Bilirubin (3-17 umol/L) | 45 |
| K (3.5 – 5.0 mmol/L) | 3.9 | CRP (<10 mg/L) | 21 |
Abdominal ultrasound showed no evidence of biliary obstruction.
Which of the following medications could have caused this presentation?
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