Conversation: The conversation between human and AI assistant.
[|Human|] Dear Doctor,I am Rajat Yadu, residing at Raipur-Chattisgarh. My wife was diagnosed for Jaundice (yellow urination and slight yellowness in eyes) medication was started by a DM-Endocrologysit, for 7 days, i found that his lab clinical test are not adequate. test in a Tiwari Clinical Lab, Raipur for  Igm Anti HEV, Anti HAV and HBSAg were dignosed negative. Fresh test were made for LFT, CBC,G6PD, PT(IMR), AntiHCV (spot) at Lab One on 12.Sep, 2012, test revealed, Billirubin Direct: 25.8, Indirect:6.3, Alkaline Phosphate:195. Today we have also got a CT scan of full stomach done, report reveal stiffness of gal bladder and slight blackening, with no obstructions anywhere and no malignant growth, suspect of some passing of stone!! Earlier, sonography was also done before CT and same thing was diagnosedToday again the same test was done by a different Tiwari clinical lab and test came as:Bilirubin Direct:14.67, Bilirubin(indirect) 15.33For your information there are no symptoms of  lever mal function, as has been enquired by the doctors. please advice!Thanks & regards.Rajat Yadu+91 0000
[|AI|]  Hello and thanks you for your query. I am Chat Doctor and I will try to help you as much as I can with my answer. Further evaluation is required since ct scan is not sensitive enough for some biliary duct diseases and her lab finding are definitely I'm indicating that there is biliary duct obstruction and this can be caused by various benign and malignant diseases such as stones and tumors. I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. Wish you a good health.