A 57-year-old man presents with fatigue for several months and has noticed recently that the waistbands of his pants are tight in spite of a 15-lb weight loss. He has not had diarrhea, nausea, vomiting, or other gastrointestinal symptoms. He does not take any medications and denies using illegal drugs. He underwent a blood transfusion with several units in 1982 after an automobile accident. Physical examination reveals generalized jaundice, a firm nodular liver edge just below the right costal margin, and a mildly protuberant abdomen with a fluid wave. Initial laboratory studies show the following:   Questions What is the most likely diagnosis? What are the possible etiologies of this disorder? What other tests would be appropriate? What are the possible complications?

An Illustrated Guide To Vet Med Term
4th Edition
ISBN:9781305465763
Author:ROMICH
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A 57-year-old man presents with fatigue for several months and has noticed recently that the waistbands of his pants are tight in spite of a 15-lb weight loss. He has not had diarrhea, nausea, vomiting, or other gastrointestinal symptoms. He does not take any medications and denies using illegal drugs. He underwent a blood transfusion with several units in 1982 after an automobile accident. Physical examination reveals generalized jaundice, a firm nodular liver edge just below the right costal margin, and a mildly protuberant abdomen with a fluid wave. Initial laboratory studies show the following:

 

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What is the most likely diagnosis?

What are the possible etiologies of this disorder?

What other tests would be appropriate?

What are the possible complications?

 

 

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