A previously healthy 32-year-old man comes to the emergency department because of a 12-hour history

Discussion in 'Step 3' started by samuel, Dec 5, 2013.

  1. samuel

    samuel New Member

    A previously healthy 32-year-old man comes to the emergency
    department because of a 12-hour history of fatigue and shortness of breath
    at rest. He takes no medications. His temperature is 7 C (98.6 F), blood pressure is
    96/58 mm Hg, pulse is 110/min, and respirations are 22/min. Examination shows
    scleral icterus and conjunctival pallor. There is no hepatosplenomegaly. Laboratory
    Studies show:
    Hemoglobin 6.2 g/dL
    Serum Leukocyte count 8800/mm3
    Bilirubin, total 8.5 mg/dL
    Reticulocyte count 16%
    Direct 1.5 mg/dL
    Platelet count 245,000/mm3
    Lactate dehydrogenase 1260 U/L


    A) Acute toxic hepatitis

    B) Alcoholic hepatitis

    C) Cholangiocarcinoma

    D) Chronic idiopathic cirrhosis

    E) Common bile duct calculus

    F) Congestive hepatitis

    G) Gallstone pancreatitis

    H) Gilbert's syndrome

    I) Infectious hepatitis

    J) Intravascular hemolysis

    K) Primary biliary cirrhosis

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