CaseStudy-05112016 - 2Created by:
A young gentleman, with background history of Inflammatory bowel disease - Ulcerative colitis, on 5-ASA, attended regular clinic for follow up. He has history of ulcerative colitis for the last 5 years. Patient was asymptomatic, with normal bowel motion, with no PR bleeding, no diarrhoea, no weight loss and having good appetite. He was in clinical remission with regards to his ulcerative colitis. His blood tests was taken by his GP 1 week prior to the clinic, and you noted that there was some derangement of his liver function test, predominantly some elevation of the ALP and GGT (double the normal value), with normal bilirubin. Patient was not taking any other medications recently. What is your impression ?? What investigations (any other blood test or any scan/imaging) that you may consider to orde for this patient ??