q2 - guest1

[ArchivalUser]

26.
A 43-year-old woman comes to your office complaining of pruritus, mainly of the soles and palms, and fatigue. She has minimal jaundice and steatorrhea. Laboratory tests show a slightly elevated bilirubin, an elevated alkaline phosphatase, and a positive IgG antimitochondrial antibody test. Which of the following is the most likely diagnosis
A.
Extrahepatic biliary tract obstruction
B.
Alcoholic hepatitis
C.
Viral hepatitis
D.
Primary biliary cirrhosis
E.
Carcinoma of the liver

[ArchivalUser]

Primary biliary cirrhosis

[ArchivalUser]

D.
Primary biliary cirrhosis

will check later, time for breakfast

Thanks guest1 for your time be back in 30min IA

[ArchivalUser]

d.

[ArchivalUser]

i'll see ya in little bit okt3. enjoy your breakfast.

[ArchivalUser]

yep PBS...

[ArchivalUser]

The answer is: D

The signs and symptoms in this patient suggest primary biliary cirrhosis (PBC), especially pruritus, a disease that occurs predominantly in women ages 35 to 60. The slightly elevated bilirubin and the elevated alkaline phosphatase are common in cirrhosis, and in particular, elevated alkaline phosphatase occurs in PBC. However, a positive IgG antimitochondrial antibody is detected in more than 90% of patients with PBC and provides an important diagnostic finding.