A 23 year old white male occasionally spontaneously develops a yellowish hue to both his skin and his sclera. His annual physical is approaching,

Question Number 0511

Question:
A 23 year old white male occasionally spontaneously develops a yellowish hue to both his skin and his sclera. His annual physical is approaching, and is concerned about his weight, so he fasts for two days prior to his exam. On the day of his physical, he has mild jaundice. Laboratory results are all within normal limits with the exception of a mild unconjugated hyperbilirubinemia. A liver biopsy is performed but is normal. What is the most likely diagnosis?

a) Rotor's Syndrome
b) primary biliary cirrhosis
c) Gilbert's Syndrome
d) hepatitis B
e) hemolysis


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