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(EXCELLENT LIVER PATHOLOGY STEP 1 QUESTION) A 60-year-old man named Dean Cain presents to the emergency room with severe abdominal pain. (Think so far, this is very common but very NON specific) Physical examination demonstrates tender, smooth hepatomegaly and mild jaundice. Serum chemistries demonstrate an aspartate aminotransferase (AST) and alanine aminotransferase (ALT) of over twelve times the upper limit of normal. The hematocrit is 65%. The patient has no known history of smoking, alcohol, or lung disease or travel. Complete blood count shows an increased number in all cell lines, with the most marked elevation in the erythrocyte line. The morphology of the cells in the peripheral smear is normal. Which of the following is the most likely cause/diagnosis of this patient's liver function abnormalities? (PLEASE GUESS FIRST FROM THE GOOD DIFFERENTIALS BELOW FIRST, BEFORE LOOKING AT THE ANSWER) 1-Excessive alcohol consumption 2-Gilbert’s Disease 3-Cirrhosis 4-Cholestasis 5-Cholelithiasis 6-Cholangiocarcinoma 7-Hepatitis A 8-Hepatitis B 9-Hepatitis C 10-Hepatitis D 11-Hepatitis E 12-Budd-Chiari syndrome 13-Liver trauma

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Subject: Tommy's Concepts

Question

(EXCELLENT LIVER PATHOLOGY STEP 1 QUESTION)

A 60-year-old man named Dean Cain presents to the emergency room with severe abdominal pain. (Think so far, this is very common but very NON specific)
Physical examination demonstrates tender, smooth hepatomegaly and mild jaundice.
Serum chemistries demonstrate an aspartate aminotransferase (AST) and alanine aminotransferase (ALT) of over twelve times the upper limit of normal.
The hematocrit is 65%.
The patient has no known history of smoking, alcohol, or lung disease or travel
. Complete blood count shows an increased number in all cell lines, with the most marked elevation in the erythrocyte line. The morphology of the cells in the peripheral smear is normal. Which of the following is the most likely cause/diagnosis of this patient's liver function abnormalities?
(PLEASE GUESS FIRST FROM THE GOOD DIFFERENTIALS BELOW FIRST, BEFORE LOOKING AT THE ANSWER)
1-Excessive alcohol consumption
2-Gilbert’s Disease
3-Cirrhosis
4-Cholestasis
5-Cholelithiasis
6-Cholangiocarcinoma
7-Hepatitis A
8-Hepatitis B
9-Hepatitis C
10-Hepatitis D
11-Hepatitis E
12-Budd-Chiari syndrome
13-Liver trauma

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