PANCE Exam Practice Questions: Quiz 77 February 8, 2016 By Aamir Khan Leave a Comment A 68-year-old male presents with recurring right upper quadrant abdominal pain that radiates to the right scapula. He also complains of fever. Physical exam reveals icteric sclerae, jaundice, and tenderness in the right upper quadrant and epigastrium. Labs show increased ALT, AST, alkaline phosphatase, serum bilirubin, and WBC. Ultrasonography shows dilated bile ducts. What is the most likely diagnosis? A. cholangitis B. choledocolithiasis C. hepatitis D. pancreatic carcinoma Δ
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