45 year old woman presents with RUQ pain, fatigue and loss of appetite
| Destruction | Obstruction | Factory | |||
| AST | 106 | alk phos | 250 | albumin | 1.9 |
| ALT | 35 | T. Bili. | 22.4 | INR | 1.6 |
Total protein 4.2
GGT 308
RUQ ultrasound showed gallbladder “sludge.”
Questions:
1. Likely diagnosis
2. Treatment options
