In previous Cases, I have used the term 'Community Physician' because I
thought that this would be more comprehensible to an international audience
than the usual UK terminology 'General Practitioner'. However, James Hooper
has pointed out that 'Community Physician' in the UK has a specific
meaning, and usually refers to someone dealing with epidemiology. James has
suggested two alternatives 'Primary Care Physician' (PCP, which is a little
too much like angel dust for my liking) or 'Family Doctor' (FD). So from
now one I will use Family Doctor (FD) - perhaps this will bring back to
elderly UK participants memories of 'Mrs Dale's Diary' (and yes James, 'I
am worried about Jim!).
A 54 year old lady, seeing her Family Doctor. Clinical information is
'cholecystectomy 3 months ago'.
Urea, electrolytes, and creatinine were within reference limits. Liver
function tests were:
Albumin: 38 g/L (35 - 49)
Globulins: 29 g/L (17 - 35)
Bilirubin: 17 umol/L (3 - 22)
Alkaline phosphatase: 115 IU/L (<126)
ALT: 1215 IU/L (<56)
AST: 640 IU/L (<41)
On discharge from hospital 3 months previously, liver function tests were
within reference limits apart from a slightly elevated alkaline phosphatase
of 140 IU/L.
Comment (maximum 2 lines please) and/or other action directly to me please
([log in to unmask]), not to the mailbase.
Best wishes
Gordon Challand
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