structure
Forum Junior
Topics: 26
Posts: 28
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6 days after undergoing a laparoscopic cholecystectomy for acute dholecystitis, a 35 yr old woman comes to the physician because of feaver and abdominal pain for 3 days . She is jaundiced. Her temperture is 38 oC abdominal examination shows distention ans incisions that are healing normallly. Leukocyte count is 12,000/mm3, and total serum bilirubin level is 7.9 mg/dL. Which of the following is the most likely cause of the jaundice?
A. Anesthetis-related hepatitis
B.Common bile duct injury
C. Fulminant hepatic failure
D. Reaction to perioperative antibiotics
E. Subhepatic abscess
I would go with B
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| Perhaps
Forum Elite
Topics: 61
Posts: 162
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I am not sure. I picked E, thinking it is an infection...
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| frank100
Forum Guru
Topics: 48
Posts: 586
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yes, (e) is a better guess, but I join the "clueless" club.
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| HighHopes
Forum Senior
Topics: 12
Posts: 165
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B , becuase of serum bilirubin level (7.9 mg/dL)
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| achilles
Forum Guru
Topics: 87
Posts: 1,207
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i'd go with E but i am not sure either. just making a guess because of fever, abd distension and maybe jaundice is caused by the compression of bile duct by abscess.
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| shumaila
Forum Elite
Topics: 58
Posts: 347
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i th ink answer is B
I iam feeling I have go thru this answer before is it the same question as uw
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| juanma0
Forum Senior
Topics: 10
Posts: 146
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B is the answer, as common bile duct injury is the most common postop complication. Reason : normal anatomic variants of the biliary system are damaged and lead to chemical peritonitis. Abcess would not present on 3rd post op day but later on.
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