<s>[INST] Hi. My grandma is 72 yrs old and diabetic. Since dengue fever is now endemic in my place, she was run thru tests. Her plt is 68000 and wbc is 6000. Lft showed high spot and sgpt of 120 n 160. Ns1ag was negative and malaria too. What could be possible reason? [/INST] she needs to be thoroughly investigated. Is she febrile? she should have complete LFTs ,ultrasound abdomen( to  look for liver cirrhosis or hepatomegaly) peripheral blood smear, and hepatitis C antibodies. </s>