Author: Haseeb Raza / Editor: Sarah Edwards / Codes: / Published: 30/08/2024
A 34-year-old male presents to the Emergency Department (ED) with a three-day history of headaches, fever, rigors, nausea, and vomiting. He also reports abdominal pain, predominantly in the right upper quadrant (RUQ). He recently returned from Sudan.
Examination showed:
- Respiratory Rate -18/min
- Oxygen Saturations – 95% on Air
- Pulse – 101 beats per min
- Blood pressure – 125/73mmHg
- Temperature of 38.7 degrees Celsius.
- Clear chest with bilateral normal air entry.
- Normal Heart Sounds, well perfused, no pedal oedema.
- Tenderness in RUQ, with guarding on deep palpation.
The relative blood results are as follows:
- Haemoglobin (Hb): 107
- White blood cell count (WCC): 18 uL
- C-reactive protein (CRP): 264 mg/L
- Alkaline phosphatase (ALP): 100 IU/L
- Alanine transaminase (ALT): 103 IU/L
- Bilirubin: 25 umol/L
- Lipase: 58 U/L
Renal function (U&Es) is within normal range.
