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23rd April 2024
A 27-year-old lady of Iranian descent has recently started taking the oral contraceptive pill
A 27-year-old lady of Iranian descent has recently started taking the oral contraceptive pill and presents to her GP with jaundice. She also occasionally takes over the counter paracetamol.
Investigations show the following:
| Haemoglobin | 120g/L |
| White Cell Count | 6×10⁹/l |
| Platelets | 370 10⁹/l |
| Bilirubin | 35 μmmol/l (predominantly conjugated) |
| Alkaline Phosphatase | 100μmmol/l |
| ALT | 37 iu/l |
| AST | 20 iu/l |
| Albumin | 35 g/l |
| Prothrombin time | 12 seconds |
| Activated Prothrombin Time | 33 seconds |
| INR | 1.1 |
On examination, there is no stigmata of chronic liver disease. Other than the incidental finding of jaundice, she has been feeling very well within herself. What is the most likely diagnosis?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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