A 50-Year-Old Man Is Admitted to the Hospital with Worsening

question 422

Multiple Choice

A 50-year-old man is admitted to the hospital with worsening jaundice, anorexia, general malaise, and right upper quadrant abdominal pain over the past 3 days.  The patient's other medical problems include major depression with an attempted suicide 30 years ago.  His temperature is 38.3 C (101 F) , blood pressure is 130/86 mm Hg, pulse is 86/min, and respirations are 16/min.  Cardiopulmonary examination is unremarkable.  Scleral icterus and tender hepatomegaly are present.  Laboratory results are as follows: Which of the following would be the most helpful in establishing a diagnosis in this patient?

• A)Family history
• B)Medication history
• C)Right upper quadrant ultrasound
• D)Serum acetaminophen level
• E)Substance use disorder history
• F)Travel history to a developing country

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