SAQ 596 – Gastroenterology – septic right upper quadrant pain

Marked out of 12.00

A 50-year-old woman presents to the emergency department with right upper quadrant pain. She has been previously healthy, takes no regular medications, and is allergic to penicillin.

Her observations and liver function tests are shown below.

Observation Result
BP 90/50 mmHg
HR 120 bpm
RR 24 /min
O2 saturation 98% room air
Temperature 38.9 degrees C
Bilirubin 24 micromol/L (2-24)
ALP 550 IU/L (30-110)
GGT 480 IU/L (<60)
ALT 100 IU/L (<55)
Albumin 20 g/L (34-48)

State the most likely diagnosis.

(Marked out of 1.0)


/ 1

State four (4) historical features that may help determine the cause of these abnormalities.

(Marked out of 4.0)


/ 4

State four (4) sonographic findings that would confirm your diagnosis.

(Marked out of 4.0)


/ 4

State the gold-standard imaging test for this diagnosis.

(Marked out of 1.0)


/ 1

List two (2) disadvantages of that gold-standard test.

(Marked out of 2.0)


/ 2

Total Score: 0 / 12

Percentage: 0%

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