How to Answer Year Evaluated Because Questions (Complete Guide)

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Original Question

A 49-year-old man is evaluated because of progressive jaundice, mild right upper quadrant abdominal pain, and weight loss over the last 3 months. The patient has a 25-year history of primary sclerosing cholangitis but has not seen a physician for more than 10 years. He takes no medications and drinks two cans of beer each evening.On physical examination, he is cachectic and jaundiced. Abdominal examination discloses a firm liver edge and moderate ascites. Labs: Hgb 11; Plts 75; total bili 5.8; AST 75; ALT 82; Alk phos 1000.RUQ US shows a nodular liver with moderate dilatation of the intrahepatic bile ducts, splenomegaly, and ascites.Which of the following is the most likely diagnosis? سؤال 85 الإجابة a. Choledocholithiasis b. Metastatic colon cancer c. Pancreatic adenocarcinoma d. Cholangiocarcinoma e. Hepatocellular carcinom

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