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A 43-Year-Old Man Comes to the Emergency Department with Severe

question 152

Multiple Choice

A 43-year-old man comes to the emergency department with severe abdominal pain and vomiting for the last several days. He has been drinking wine heavily since separating from his wife recently. He was admitted to the hospital for alcohol-related seizures a year ago and left against medical advice. The patient's medical problems also include chronic low back pain and nephrolithiasis. He takes over-the-counter painkillers. His temperature is 38.3 C (101 F) , blood pressure is 112/70 mm Hg, pulse is 105/min, and respirations are 18/min. Physical examination is significant for jaundice in the eyes and skin. Breath sounds are normal. The abdomen is distended, with significant tenderness in the right upper quadrant to palpation. There is dullness to percussion in bilateral flank regions.
Laboratory results are as follows:

Which of the following is the most likely diagnosis?

Definitions:

Current Ratio

The Current Ratio is a liquidity ratio that measures a company's ability to pay short-term obligations or those due within one year.

Current Assets

Assets that are expected to be converted into cash, sold, or consumed within one year or within the business’s operating cycle if longer than a year.

Current Liabilities

Obligations or debts that a company must pay within a year or within its operating cycle.

Merchandise Inventory

Products that a company holds in stock with the intent to sell as part of its business operations.