Results for “biliary”
16 questions found
You are the intern covering a medical ward at 2 am. A 61-year-old woman with cirrhosis due to hepatitis C is admitted with hepatic encephalopathy; she is drowsy…
Acute Care · Pre-internship · niche
A 35-year-old woman at 35 weeks of pregnancy presents with vomiting, malaise and jaundice. She is normotensive, has no proteinuria and has mild right upper quad…
Obstetrics and Gynaecology · Clinical rotations · middle twist
A 42-year-old woman has 18 months of fatigue, pruritus and intermittent discomfort beneath the right costal margin. Alkaline phosphatase is 410 U/L (30–110), al…
Gastroenterology and Hepatology · Clinical rotations · middle twist
A 19-day-old girl is reviewed for jaundice that has persisted since discharge from hospital. Her mother reports that the urine has stained the nappy dark and th…
Paediatrics · Clinical rotations · common
A 79-year-old woman presents with four days of intermittent cramping abdominal pain, vomiting and increasing abdominal distension. She has no history of abdomin…
Gastroenterology and Hepatology · Clinical rotations · common
A 26-year-old man is referred for recurrent episodes of yellowing of the eyes, usually after intercurrent illness. He has no pruritus, abdominal pain or weight…
Gastroenterology and Hepatology · Mechanisms of disease · niche
A 32-year-old woman at 34 weeks gestation reports two weeks of intense itching that is worse at night and began on her hands and feet. She has no rash, abdomina…
Obstetrics and Gynaecology · Clinical rotations · common
A 34-year-old man with established primary sclerosing cholangitis develops worsening pruritus and jaundice over six weeks, with a 5 kg weight loss. His bilirubi…
Gastroenterology and Hepatology · Clinical rotations · middle twist
A 47-year-old woman has fatigue, pruritus and intermittent jaundice. Alanine aminotransferase is 680 U/L (5–40), IgG is 31 g/L (7–16), antinuclear and smooth-mu…
Gastroenterology and Hepatology · Clinical rotations · common
A 42-year-old man presents with several months of pruritus followed by yellowing of the eyes. He has ulcerative colitis, an alkaline phosphatase of 680 U/L (30–…
Gastroenterology and Hepatology · Clinical rotations · common
A 4-week-old girl born at term is reviewed because she is still visibly jaundiced. The jaundice was first noticed on day three of life; she is fully breastfed,…
Paediatrics · Clinical rotations · common
A 45-year-old woman is admitted with epigastric pain radiating to the back and a serum lipase of 2400 U/L (<60). Ultrasound shows multiple small stones in the g…
Gastroenterology and Hepatology · Clinical rotations · middle twist
A 68-year-old woman presents with two days of constant right upper quadrant and epigastric pain. Overnight she had two episodes of violent, uncontrollable shaki…
Gastroenterology and Hepatology · Clinical rotations · common
A patient presents with dark urine and pale stools. Laboratory tests show: Total bilirubin: 8 mg/dL (Reference range: 0.1 – 1.2 mg/dL) Indirect bilirubin: 1 mg/…
Year 4 · Clinical rotations · middle twist
A 45-year-old woman presents to the emergency department due to the sudden onset of nausea, vomiting, and epigastric pain radiating to the back for the past 6 h…
Year 4 · Clinical rotations · middle twist
A 45-year-old man with a history of type 2 diabetes mellitus and hypertension presents to his primary care physician's office with complaints of persistent fati…
Medicine · Clinical rotations · common