SOLVED2757

A 25-year-old medical student presents to morning rounds with notable sclera icterus. She has no known medical problems. Her brother had kidney failure at 22 years of age otherwise, there is no family history of liver disease. The student is sent to the clinic for laboratory tests, which have the following results: hematocrit 44%, leukocyte count 5000/mm3, Na+ 142 mEq/L, K+ 4.1 mEq/L, Cl− 103 mEq/L, HCO3− 23 mEq/L, urea nitrogen 14 mg/dL, creatinine 0.8 mg/dL, total bilirubin 3.2 mg/dL, direct bilirubin 0.2 mg/dL, AST 13U/L, and ALT 15U/L. Serologic testing for hepatitis A and B are negative. Which of the following is the most likely cause of these findings? A. Crigler-Najjar syndrome B. Dubin-Johnson syndrome C. Gilbert syndrome D. Rotor syndrome
SCIENCE
HEALTH SCIENCE
NURSING

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