hepatosplenomegaly

Discussion in 'USMLE STEP 2 CS' started by Gelilio., Jun 2, 2008.

  1. Gelilio.

    Gelilio. Guest

    A 44-year-old white female presents with the chief complaints of severe epigastric pain radiating to the back, associated with nausea and vomiting. She is non-alcoholic, has no past medical problems, and takes no medication. Her vitals are: BP: 110/70 mm Hg, PR: 100/min, Temperature: 38.3C(101.1F). On examination, there is no icterus or hepatosplenomegaly; heart and lungs are clear to auscultation without abnormalities. Her chest X-ray is normal. Her laboratory reports shows: WBC count: 15,000/cmm, Hb: 11.0 mg/dl, Bilirubin: 1.0 mg/dl, Amylase: 2100 IU/L, Lipase: 7800 IU/l, AST: 130 IU/L, ALT: 80 IU/L, alkaline phosphatase: 170 IU/L, and normal lipid profile. What should be the next best investigation in this patient?

    A. CT scan abdomen.
    B. HIDA scan.
    C. Ultrasonogram of the abdomen.
    D. X-ray abdomen.
    E. ERCP

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