 Question Number 0908 Question: A 47 year old male with a 25 year history of chronic hepatitis B infection begins to notice weakens and an unexplained weight loss. On physical examination, he has a tender, enlarged liver with a palpable mass. On auscultation, a friction rub is heard. Laboratory tests reveal that he has an elevated alpha fetoprotein, elevated serum alkaline phosphatase and a mildly elevated bilirubin. Further diagnostic tests detect a mass in his liver surrounded by smaller nodules. He has some enlarged regional lymph nodes as well. What condition is most likely? a) primary biliary cirrhosis |
Labels: MEDICINE
