Surgery
Last updated on: September 30th, 2020
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You’re looking at an interactive case study from Prognosis: Your Diagnosis (one of four distinct learning formats available in Clinical Odyssey). Try it out, and have fun improving your clinical skills.
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A 48 year old man presents with worsening pain in the upper abdomen for 1 week, in a background of yellowish discoloration of the eyes and intermittent dark urine for 2 months.
There is no history of similar episodes in the past; or of other medical or surgical diseases. However, he confesses that he postponed seeking medical attention until now, as he was "scared that he might have a serious illness." He has never smoked, and only drinks socially. There is no history of sexual promiscuity, blood transfusions, or intravenous drug abuse.
A complete blood count is only significant for a leukocytosis of 11,000/mm3. A renal profile is within normal parameters, as are serum amylase and lipase levels.
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