A 54 Year-Old-Man Comes to the Office Due to a 3-Day

question 628

Multiple Choice

A 54 year-old-man comes to the office due to a 3-day history of fever, malaise, and loss of appetite.  The patient has not experienced weight loss, headache, cough, dyspnea, rash, vomiting, or bloody stools.  Medical history is unremarkable, and he takes no medications.  He lives in an overcrowded homeless shelter, drinks several beers a day, and intermittently smokes marijuana but denies other illicit drug use.  The patient is not sexually active and has not traveled outside of the United States.  Family history is unremarkable.  Temperature is 38.1 C (100.6 F) , blood pressure is 135/80 mm Hg, and pulse is 85/min.  Scleral icterus is absent.  Cardiopulmonary and skin examinations are unremarkable.  The abdomen is soft and nondistended.  Hepatomegaly is present.  Laboratory results are as follows: Which of the following is the most likely diagnosis?

• A)Acute cholangitis
• B)Acute cholecystitis
• C)Alcoholic hepatitis
• D)Congestive hepatitis
• E)Hepatitis A infection
• F)Pancreatic cancer

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Definitions:

Protocols

Established procedures or systems of rules designed to guide the implementation of certain actions or operations.

Clinician

A healthcare professional involved in the diagnosis and treatment of patients.

Health Care Problems

Any conditions or dysfunctions that the patient experiences as a result of illness or treatment of an illness.

Psychomotor

Pertaining to the connection between cognitive functions and physical movement, often referring to motor skills development.