Exam questionKROK 1Medicine ยท 2014
A 53-year-old male patient complains of acute pain in the right hypochondrium. Objective examination revealed scleral icterus. Laboratory tests revealed increased ALT activity, and stercobilin was not detected in the stool. What disease is characterized by these symptoms?
Answer options
- Hemolytic jaundice
- Cholelithiasis
- Chronic colitis
- Hepatitis
- Chronic gastritis
Correct answer
Cholelithiasis
Explanation
Location of pain removes "Chronic gastritis". Increased ALT removes "Chronic colitis". Age of patient and absence of signs of hemolysis removes "Hemolytic jaundice". The absence of stercobilin removes "Hepatitis", so we are left with "Cholelithiasis" because the gallstone blocks the bile duct hindering the flow of the stercobilin which is the correct answer.
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