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An obese 63 year old lady presents with jaundice...

asked Aug 26, 2014 in General Surgery by Rajesh Bahara
An obese 63 year old lady presents with jaundice. There is no history of abdominal pain. Examination of her abdomen reveals a palpable gall bladder. There is evidence of extensive pruritis.
She tells you she drinks 42 units of alcohol a week.
Her blood results are as follows
Albumin 32 (35-50)
Alk Phos 456 (<110)
ALT 88 (<40)
Bilirubin 120 (<20)
INR 1.6
GGT 400 (0-70)
What’s the most likely diagnosis?
a. Gallstones 
b. Paracetamol Overdose 
c. Pancreatic cancer 
d. Alcoholic Hepatitis 
e. Primary billiary cirrhosis

1 Answer

+1 vote
Best answer
c. Pancreatic cancer
answered Aug 26, 2014 by Rajesh Bahara

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