Mr. Weiser's Confusion
 
Symptoms & History

Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation

Wow, Mr. Weiser's labs really suck. Things definitely point to a problem with his liver. (Review his Labs?)
  • Which labs tell us about the state of health of his biliary tree?
  • Liver parenchyma?
  • What's the scoop with his PT?
  • If his total bilrubin is so high, why's his direct bilirubin only minimally elevated?
  • Given the elevation of his total bilirubin, why's there no urobilinogen in the urine?
  • What happened to his electrolytes?
  • Is the elevated cholesterol part of his liver problem?
  • What's with his hemoglobin, HCT and MCV?
  • Positive occult blood in the stool.
  • And if that's not enough, this guy actually presents with a measurable blood alcohol. What does this tell us?
How can we take a peak at his liver?                           Back
 

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