Conversation: The conversation between human and AI assistant.
[|Human|] If a patient has a sgot of 331, sgpt of 170, alk phos 1035, total bili of 12.6, direct bili of 11.7 and has been on HIV meds, does he need a MRCP and ERCP or can he be worked up as an outpateint with a primary consideration being given to Hep B or Hep C and medication use..
[|AI|]  Hi and thank you so much for this query. I am so sorry to hear about these elevated numbers on your liver function tests They are not an indication for E/MRCP right now. More evaluation is needed to pinpoint the cause before making the decision whether these advanced endoscopic measures are need for diagnostic and therapeutic purposes. Cause like viral infections, autoimmune disorders, Chat Doctor.  Also, an ultrasound would guide the decision-making process. I hope this ad