A 16-Year-Old Boy Is Evaluated Due to New-Onset Jaundice

question 67

Multiple Choice

A 16-year-old boy is evaluated due to new-onset jaundice.  The patient was admitted to the hospital 24 hours ago after an emergency appendectomy, as well as drainage and irrigation of the peritoneal cavity, due to a perforated appendicitis.  He has no chronic medical conditions.  Current medications are intravenous morphine and piperacillin-tazobactam.  The patient has not received blood products.  Temperature is 38.1 C (100.6 F) , blood pressure is 118/80 mm Hg, and pulse is 98/min.  On examination, there is mild scleral icterus.  Cardiopulmonary examination is normal.  The laparotomy site is mildly tender; there is no rigidity or rebound tenderness.  No drain was placed.  Laboratory results are as follows: Which of the following is the most likely diagnosis?

• A)Acalculous cholecystitis
• B)Deficiency of glucose-6-phosphate dehydrogenase
• C)Deficiency of hepatic glucuronosyltransferase
• D)Hypoperfusion-induced liver injury
• E)Iatrogenic biliary injury
• F)Liver injury due to an inhaled anesthetic

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Definitions:

Routine Requests

Standard or common inquiries or demands made in a workplace or professional context, often relating to information, services, or actions.

Direct Approach

A communication strategy that is straightforward and clear, without indirectness or evasion.

Negative Responses

Reactions that express disagreement, dissatisfaction, or other forms of refusal or denial.

Indirect Method

An approach in communication or problem-solving that is not straightforward and uses alternative means, often involving suggestion rather than direct expression.