RT Book, Section
A1 MAZER, LAURA M.
A1 KENT, TARA S.
A2 Butler, Kathryn L.
A2 Harisinghani, Mukesh
SR Print(0)
ID 1110748583
T1 BILIARY OBSTRUCTION
T2 Acute Care Surgery: Imaging Essentials for Rapid Diagnosis
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 9780071831208
LK accesssurgery.mhmedical.com/content.aspx?aid=1110748583
RD 2024/04/17
AB A  62-year-old  man  presents  to  the  emergency  room  with  a  complaint  of  dull  epigastric  pain.  The  pain  has  been  present  for  the  past  2  months,  but  worsened  on  this  night  after  a  large  meal.  He  also  reports  generalized  itching  for  the  past  few  weeks  and  an  involuntary  10-lb  weight  loss.  His  past  medical  history  is  significant  for  hypertension  and  hyperlipidemia.  He  has  a  50-pack-year  smoking  history  and  currently  smokes  half  a  pack  per  day.  On  examination,  he  is  jaundiced.  The  abdomen  is  soft  with  mild  tenderness  to  palpation  in  the  epigastric  region.  Laboratory  studies  are  remarkable  for  a  total  bilirubin  of  10  (direct  component  8.5),  aspartate  aminotransferase  (AST)  of  160,  and  alanine  aminotransferase  (ALT)  of  120,  with  a  normal  complete  blood  count  (CBC).