Case 82 – update 2

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?

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