<prompt> All are liver function test alterations in bacterial sepsis, EXCEPT:Elevation of bilirubin with normal liver enzymesLFT alteration is due to the endotoxemiaEndotoxemia impairs transpo of anions, resulting in impaired bile flowJaundice is always associated with leukocytes  <response>: JAUNDICE IN BACTERIAL SEPSIS 1 Dispropoionate increase in serum bilirubin compared to aminotransferase and ALP 2 It can appear even without fever hypotension, Leukocytosis 3 Mechanisms : Endotoxin mediated cytokine activation 4 It impairs transpo of anions in both sinusoidal and canalicular membranes resulting in impaired bile flow Ref: schiffs diseases of liver : E - 11, P - 232. 