USMLE Forum Archives - USMLE Step 3 - Gastro 5
Gastro 5
harry206 - 05-06-09 15:56
A 35-year-old male patient presents with right upper quadrant pain, fever for
the past 48 hours, preceded by new onset jaundice over the past few weeks. He
states that he has had diarrhea on and off for several years but never had this
investigated. A liver ultrasound is negative for gallstones or evidence of cholecystitis.
His lab tests reveal total bilirubin 6.2, alkaline phosphatase 450, AST 150, ALT 120,
albumin 2.6. The next diagnostic test of choice would be
harry206 - 05-06-09 15:56
A 35-year-old male patient presents with right upper quadrant pain, fever for
the past 48 hours, preceded by new onset jaundice over the past few weeks. He
states that he has had diarrhea on and off for several years but never had this
investigated. A liver ultrasound is negative for gallstones or evidence of cholecystitis.
His lab tests reveal total bilirubin 6.2, alkaline phosphatase 450, AST 150, ALT 120,
albumin 2.6. The next diagnostic test of choice would be
The correct answer and explanation will be available after you answer.
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#2
Re: Gastro 5 usmlefever3 - 05-07-09 01:31 My answer is: d.
ulcerative colitis with primary sclerosing cholangitis as it's complication
#12
Re: Gastro 5 zkadhem - 07-15-09 10:53 Don't we have to exclude hepatitis as a cause of this jaundice and fever before we jump to other causes?
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