Question 28 · LEK · Surgery of the bile ducts and gallbladder

Which of the following should be performed in a patient who was referred to the surgical outpatient clinic because of yellowish skin?

1) laboratory exams: bilirubin, alkaline phosphatase, ALT, AST, GGT;
2) abdominal ultrasound;
3) hospitalization in order to perform endoscopic retrograde cholangiopancreatography;
4) magnetic resonance cholangiopancreatography (MRCP).
The correct answer is:
  1. A. 1,2.
  2. B. 1,3.
  3. C. 1,4.
  4. D. 2,3.
  5. E. 1,2,3.
Hint

Consider the first-line, non-invasive steps of an outpatient jaundice work-up before advanced imaging or invasive procedures.

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