11-12-2018, 01:09 PM
For each patient with jaundice, select the most likely diagnosis.
A) Acute hepatitis
B) a1-Antitrypsin deficiency
C) Biliary atresia
D) Cholangiocarcinoma
E) Choledocholithiasis
F) Gi I bert syndrome
G) Glucose 6-phosphate dehydrogenase deficiency
H) Liver abscess
I) Peptic ulcer disease
1. Two days after undergoing surgical repair of a torn anterior cruciate ligament, a 24-year-old man develops jaundice. He has not had fever, nausea, vomiting, or abdominal pain.
Examination shows no abnormalities except for mild scleral icterus. Laboratory studies show:
Hemoglobin 16 g/dL
Serum 3.5 mg/dL
Bili rubin, total 4.2 mg/dL
Direct 3.6
Alkaline phosphatase 120
AST 350
ALT 280
Lactate dehydrogenase 410