Cholestatic liver disease Quiz: Ace Your Exams
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A 42-year-old woman comes to the emergency department seeking evaluation for abdominal pain which began 12 hours ago. The pain is localized in the right upper quadrant and is rated as 7 out of 10 in severity. In addition, she has had two episodes of non-bloody vomiting. Past medical history is notable for hypertension and type 2 diabetes mellitus. Her temperature is 37.2°C (99.0°F), blood pressure is 152/88 mmHg, and pulse is 76/min. Physical examination shows jaundice, and pain is elicited on palpation of the right upper quadrant. Laboratory testing reveals a total serum bilirubin of 6.7 mg/dL. Ultrasound reveals obstruction in a portion of the common bile duct. No obstruction or dilation of the pancreatic duct or hepatopancreatic duct is observed. Which of the following additional findings will be most likely present in this patient?
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