SOLVED1444

An 11-year-old girl presents to the emergency department with abdominal pain, fevers, chills, vomiting and “yellow eyes.” On further discussion, she reports that the pain is above her umbilicus and has been present intermittently for the last several weeks and associated with vomiting, but is more constant now. On examination, her temperature is 101.2, pulse 100 bpm, respiratory rate 20 breaths per minute, and blood pressure 120/80. She appears uncomfortable, has scleral icterus, and dry mucous membranes. There is tenderness in the right upper quadrant and epigastric areas and a palpable mass in the right upper quadrant. What is the most likely diagnosis based on the scenario and the following lab results: Blood work is obtained and shows: Bilirubin, total: 10.5 mg/dL Bilirubin, direct: 7.0 mg/dL Aspartate aminotransferase: 140 U/L Alanine aminotransferase: 125 U/L Total protein: 6.0 mg/dL A. Choledocholithiasis B. Biliary atresia C. Hepatic sinusoidal obstruction syndrome D. A choledochal cyst
SCIENCE
HEALTH SCIENCE
NURSING

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