Our patient continues to deteriorate and the following investigations are now back:
Hb 103, Plts 75, WCC 3.4, Neuts 1.6.
Blood film: red cell fragments with infrequent spherocytes and polychromasia.
Bili 152 (predominantly conjugated), ALT 54, Alk phos 340.
Urea 9.8, Creatinine 198
USS liver: suggestive of sinusoidal obstructive syndrome
Lots of tests results for this complicated patient! Any thoughts on the differential diagnosis? Any additional investigations at this stage?