A 59-year-old man develops fatigue and decreased appetite 3 months after receiving a mechanical aortic valve replacement
Posted: Mon Apr 11, 2022 9:18 am
A 59-year-old man develops fatigue and decreased appetite 3 months after receiving a mechanical aortic valve replacement His pulse is 88/min, respirations are 12imin, and blood pressure is 140/54 mm Hg. He appears tired. Physical examination shows mild scleral icterus. Jugular venous pressure is 8 cm H20 , and carotid upstrokes are normal. Lung fields are clear. Cardiac examination shows crisp prosthetic valve sounds and a grade 2/6, decrescendo diastolic murmur at the left sternal border. Abdominal examination shows no tenderness, normal liver size, and normal bowel sounds. Labratory studies of serum show a total billrubin concentration o 4mg/dL and a direct billrubin concentration of 1 mg/Dl. Which of the following is the most likely cause of the jaundice in this patient?
A) Cholelithiasis
B) Cholestasis
C) Hemolysis
D) Hepatocellulardisease
E) Passive congestion
A) Cholelithiasis
B) Cholestasis
C) Hemolysis
D) Hepatocellulardisease
E) Passive congestion