zeeec2000 Forum Junior
Topics: 21 Posts: 48
| | 03/22/08 - 01:23 PM  
 
   
 
|   #1 |
42 AA Hep C . 3day adimited with fever rt upper abd pain with nausea hx of alcoholon admission vital are fever 101 RR 24 BP100/60 = abd destination, liver span 25cm US upper quadrant 3 small GB stone dilated rt and lf intrahepatic duct lab: AST 442 ALT 650 Alk phos 342 bilrubin 7 WBC 22 Na 140 K 4.2 INR 1.2 Normal PT and aPTT after fluid resuscitation what the next best step: a) Biopsy of the liver b) Cholecystectomy c) CT scan of Abd d) ERCP with stent e) measure alpha feoprotien
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| dr9576 Forum Newbie
Topics: 4 Posts: 36
| | 03/23/08 - 05:55 PM  
 
   
 
|   #2 |
I think C - CT scan of the abdomen
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| anjushree Forum Guru
Topics: 64 Posts: 386
| | 04/23/08 - 03:52 PM  
 
   
 
|   #3 |
I will go with D---a case of cholangitis
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