neuroblastoma
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A 12-year-old American boy comes to you with the complaints of abdominal pain and yellow urine. On examination he has normal vitals, icteric sclerae, and abdominal tenderness with a mass palpable in right upper quadrant. His laboratory report shows bilirubin: 6.5 mg/dl, negative viral serologies and mild elevations of amylase and lipase. Ultrasonography shows a cystic extra hepatic mass and a gall bladder separated from the mass. What is the most likely diagnosis in this patient?
A. Caroli’s syndrome.
B. Choledochal cyst.
C. Biliary abscess.
D. Biliary atresia.
E. Pseudo pancreatic cyst.
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| titly
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B- choledochal cyst.
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| Ivonne
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| sprint123
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Choledochal cyst----Type I---Most common-----cystic enlargement of the common hepatic and the common bile duct. Usually presents in children as obstructive jaundice and recurrent attacks of pancreatitis....The mild elevations of amylase and lipase in this case supports our diagnosis.
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| neuroblastoma
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correct
.
Choledochal cyst.
Caroli’s syndrome both are congenital probs.. how would you differentiate??
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| amkhit
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CAROLIS DISEASE IS INTRA HEPTIC CYSTS , TYPE I - III INVOLVES ONLY EXTRAHEPATIC DUCTS
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| drdg
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