ARJ
Forum Guru
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A 24-year-old third-year medical student shaseed capoor comes to the student health clinic for evaluation of jaundice which he noticed this morning. He has had no abdominal pain, itching, or weight change. He takes no medications. He describes recent anxiety over anticipation of the upcoming Step 2 examination. His temperature is 37 C (98.6 F), blood pressure is 124/82 mm Hg, pulse is 78/min, and respirations are 13/min. Examination shows no abnormalities except for scleral icterus. Laboratory studies show:
Hemoglobin 14 g/dL Serum
Leukocyte count 8000/mm3 Alkaline phosphatase 80 U/L
Platelet count 244,000/mm3 Aspartate aminotransferase
Serum (AST, GOT) 21 U/L
Bilirubin, total 3.5 mg/dL Alanine aminotransferase
Direct 0.7 mg/dL (ALT, GPT) 21 U/L
Whats the Diagnosis
A Acute toxic hepatitis
B Alcoholic hepatitis
C Cholangiocarcinoma
D Chronic idiopathic cirrhosis
E Common bile duct calculus
F Congestive hepatitis
G Gallstone pancreatitis
HGilbert's syndrome
IInfectious hepatitis
JIntravascular hemolysis
KPrimary biliary cirrhosis
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| icefires
Forum Junior
Topics: 8
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HGilbert's syndrome.
Bilirubin is raised during periods of intense stress,excercise or illness.
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| chemamr
Forum Hero
Topics: 703
Posts: 4,488
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Gilbert
(by the way, i think i have that Sx. Truly. )
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| DrS
Forum Elite
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Gilbert's
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| phuluong2k
Forum Fanatic
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gilbert
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| ARJ
Forum Guru
Topics: 133
Posts: 792
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This one also from NBME should be
H Gilbert's syndrome
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| kabu
Forum Senior
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H.
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