Finding-the-Path: Case 10
History
A 62-year-old man presents with a 2-week history of intermittent right upper quadrant pain and a 2-day history of malaise, nausea and vomiting. Physical examination reveals a slightly jaundiced patient with tachycardia and mild RUQ tenderness without peritoneal signs. Laboratory evaluation is remarkable for a bilirubin of 4.1 and slightly elevated alkaline phosphatase. Supine and upright plain radiographs of the abdomen are unremarkable.
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