Approach to hepatic masses Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 37-year-old man presents to the emergency department with a fever and dull right upper quadrant pain for the past week. Two months ago, he returned from a vacation in Mexico. He has no significant past medical or surgical history. He does not take any medication and has not been exposed to any sick contacts. Temperature is 38°C (100.4°F), heart rate is 86/min, blood pressure is 124/80 mmHg, and respiratory rate is 12/min. Physical examination shows tenderness to palpation in the right upper quadrant and hepatomegaly. Laboratory studies are shown below. An abdominal CT shows a single round mass with an enhancing solid rim and central complex fluid. Which of the following is the most likely diagnosis?

 Laboratory Value Result Reference Range
 White Blood Cells 12x103/mm3 4.5-11x103/mm3
 Neutrophils 40% 40%
 Hemoglobin 14.0 g/dL 13.5-17.5 g/dL
 Hematocrit 42% 41-53%
 Platelets 350x103/µL 150-400x103/µL
 Aspartate aminotransferase 110 U/L 8-40 U/L
 Alanine aminotransferase 105 U/L 8-40 U/L
 Alkaline Phosphatase 100 U/L 20-70 U/L
 Bilirubin 1.1 mg/dL 0.1-1 mg/dL

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