md2besoon
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45 yo woman, working as a phlebotomist, with BMI 31, with mild occasional right upper epigastric pain. Blood test: Total cholesterol 205, TGL 175, ALT 75, rest within limits. Physical exam normal.
What's the differential diagnosis?
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| Ahab
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Biliary colic
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| mdwannabe
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I guess Hep B and C should be rulled out as well, coz of professional exposure.
Disbacteriosis.
PUD with Aml Vater sclerosis
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| md2besoon
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great mdwannabe, this woman in fact works with me in the same hospital, she was diagnosed with HCV, and God knows when she got infected. She was never symptomatic, what is pretty common as we know.
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| mdwannabe
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yep...only 30% pts exibit any smx...and almost 70% progress to HCC in 10yrs. as far as I know.. untreatd mortality 100%.
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| orthodromic
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thanks for info.
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| miky
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45 yo woman, working as a phlebotomist, with BMI 31, with mild occasional right upper epigastric pain. Blood test: Total cholesterol 205, TGL 175, ALT 75, rest within limits. Physical exam normal.
What's the differential diagnosis?
Interesting case.
overweighted, professional exposure, liver mildly affected, right upper epigastric pain. HCV can be acquired more often tha HIV, that's undoubtedly true. So, I would go with HCV testing first,
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