NSG6320 Adult Health – Adults & GerontologyWeek 7 Discussion
Case 1

A forty-nine-year-old healthy Caucasian female has her routine labs done, which reveals the following:

ALT 381 ↑↑

AST 184 ↑↑

ALP 64

GGT 14

Alb, INR, plt normal

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She has had liver tests in the past and her ALT and AST fluctuate from normal to 300 s.

Autoimmune markers negative. She is on no meds.

What is your next best action to take and why? Further history?

Diagnostics? What are some of your differentials?

Case 2

Mrs. Keppy is a fifty-five-year-old married female who comes to your office because her husband was recently diagnosed with hepatitis C. She wants to know if she should be tested and what she can expect from her husband’s diagnosis. What will you say to her regarding her risk factors and her husband’s treatment and prognosis?

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Week 7 Discussion of NSG6320 Adult Health – Adults & Gerontology

Case No. 1

A 49-year-old healthy Caucasian female undergoes routine blood testing, which reveals the following:

381 ALT

AST 184

ALP 64

GGT 14

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Alb, INR, plt normal

She has had liver tests in the past and her ALT and AST fluctuate from normal to 300 s.

Autoimmune markers negative. She is on no meds.

What is your next best action to take and why? Further history?

Diagnostics? What are some of your differentials?

Case 2

Mrs. Keppy is a fifty-five-year-old married female who comes to your office because her husband was recently diagnosed with hepatitis C. She wants to know if she should be tested and what she can expect from her husband’s diagnosis. What will you