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* 15
 #140663  
  angioplasty - 11/22/06 17:18
 
  15. A 16-year-old Mexican American girl who is 28 weeks pregnant comes to the health center with her boyfriend because of epigastric pain radiating to her back. She says, "I have had pain for many days, especially after eating." She has been taking acetaminophen for the pain several times a day for the past week. She admits to drinking an occasional bottle of light beer. She has been receiving prenatal care at the health center. Vital signs today are temperature 37.5°C (99.5°F), pulse 110/min, respirations 15/min, and blood pressure 110/70 mm Hg. Height is 157 cm (5 ft 2 in) and weight is 90 kg (200 lb). Physical examination shows scleral icterus and epigastric and right upper quadrant tenderness. Uterus is appropriately enlarged for her gestational stage. The patient is admitted to the hospital for observation. Results of laboratory studies are shown:


SerumALT

55 U/L

AST

58 U/L

Alkaline phosphatase

350 U/L

Amylase

3000 U/L

Bilirubin



Total

7.3 mg/dL
475 U/L (N=10140)


These laboratory results are most indicative of which of the following?

A

) Acetaminophen-induced hepatic necrosis

B

) Alcoholic pancreatitis

C

) Biliary pancreatitis

D

) Hepatitis C infection

E

) Mononucleosis

Direct

5.9 mg/dL

Lipase

 
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* Re:15
#568379
  pk007 - 11/22/06 17:23
 
  c.  
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* Re:15
#568412
  knock_knock - 11/22/06 17:44
 
  C)  
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* Re:15
#569283
  tea - 11/23/06 13:44
 
  c
 
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