QuestionSBA
QuestionChoice
This is a viral infection of the liver that is spread through infected blood or body fluid. Features include jaundice, fever and raised liver transaminases (ALT and AST). Therefore, this diagnosis is unlikely.
10004124
d
Hepatitis B
QuestionChoice
This is inflammation of the bile duct, often it is caused by gallstones. It usually presents with the classic Charcot's triad of abdominal pain, fever and jaundice which this patient does not have. You would also expect liver function test results to be more deranged.
10004122
b
Acute cholangitis
QuestionChoice
Gilbert's syndrome is a benign liver condition that is caused by the impaired breakdown of bilirubin. It often presents with jaundice during a bout of illness, such as in this case as the patient is recovering from a sinus infection. It does not require any treatment and should resolve on its own.
10004121
a
Gilbert's syndrome
QuestionChoice
This is a condition of an unknown aetiology that is associated with other auto-immune conditions. It most commonly is seen in young females and would show deranged LFT results. Therefore this diagnosis is not likely.
10004125
e
Auto-immune hepatitis
QuestionChoice
This commonly affects the head of the pancreas which can compress the bile duct. While this does often present with painless jaundice, it is unlikely in a patient of this boy's age. Additionally, you would expect the LFTs to show an obstructive picture.
10004123
c
Pancreatic cancer
Concept
Chapter
2693
4238
Gilberts Syndrome
Topic
136
Gastroenterology
13371
A 14-year-old boy is brought into A&E by his mother who is concerned that he has turned yellow. She mentions that he has been recovering from a sinus infection. Aside from a raised bilirubin, all other LFTs are within normal range.

Which of the following is the most likely diagnosis?
a