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Cholestatic LFTs – neonate — RACP Paediatrics MCQ

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ModerateGICholestatic LFTs – neonateRACP Paediatrics

A 3-week-old with pale stools has conjugated bilirubin 120, GGT 850, ALP 600, ALT 80. What pattern?

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Correct answer: ACholestatic pattern

Elevated GGT/ALP with lower transaminases and conjugated hyperbilirubinaemia is cholestatic. With pale stools, exclude biliary atresia urgently.

Reference: RCH Melbourne – 2023 – Neonatal Cholestasis CPG