Primary sclerosing cholangitis Quiz: Ace Your Exams
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A 52-year-old man is brought to the emergency department after being found unconscious on the sidewalk. He is arousable to sternal rub. The patient’s family is contacted, and his next of kin reports that the patient is currently undomiciled. Past medical history is notable for hypertension. The patient has been drinking a pint of vodka daily for the last 12 years, but does not consume tobacco or illicit substances. Temperature is 37.0°C (98.6°F), pulse is 92/min, respirations are 13/min, and blood pressure is 156/95 mmHg. Physical examination reveals jaundice, palmar erythema, and pungent breath. The lungs are clear to auscultation. The abdomen is soft and mildly tender to palpation; there is shifting dullness to percussion. The liver is not palpable. Which of the following is most likely to be present if a biopsy of the patient’s liver is performed?
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