NBME 24 Answers : Block 3 : #6 = A 43-year-old woman comes to the physician ...

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nbme24/Block 3/Question#6 (22.3 difficulty score)
A 43-year-old woman comes to the physician ...
Alkaline phosphatase🔍
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+6 upvote downvote
submitted by lm4(7),

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in hte nceioxre cspnae,ra al,gdlralebd nad rievl aolgphtoy ensoitc of h,paaotm ttaras nestmion thta teh utpmhileei ninilg riabiyl atctr hsa lnakalei eppashatsoh os henw thye aer gedaadm it lraesees i,ths eiciasnrgn muser lak ps.ho

lilyo Cholestasis will present with elevated conjugated bilirubin, Alkaline phosphatase, GGT. Depending on the cause for cholestasis it can present with pale stools and dark urine. This patient has cholestasis due to choledocolithiasis. Look at FA 2019 page 390. +

sars From what I understand, this could be acute cholangitis (inflammation of the bile duct-charcot triad-hypotension, RUQ pain, jaundice). Biggest risk factor for this is choledocholithiasis. Damage to bile ducts releases ALP and GGT. Thanks +

+2 upvote downvote
submitted by yotsubato(793),

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TLA nad STA ear esemnyz inhtwi tayepcth.eso Wtiuoth tctyhapeeo ,agmeda you notw ahev ntl.iaeveso

elniklaA stehohpaspa is rtsenpe in lal sitsuse touguhhtro eth trneei yo,db btu is aytarlilpcur etnendatcroc in eth revi,l elib ,tcud idke,ny n,boe sneiinatlt msauoc nda nleaca.tp

+1 upvote downvote
submitted by m-ice(272),

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iTsh tetinpa sah a slolgetna doelgd in the ocomnm beil tcu.d ,reThofere hte rrmeksa mtos illyek ot be aleeevdt si thesmiogn fomr het iaylirb tt,rca teh esbt of whchi is ilnkalae aht.popesash Trhee duolc tlneotplayi eb slnaoveiet ni TSA nda TA,L but htis is nto teh STOM ykleli wsre.na Ucngnejtaoud riiuilbbn is not a gdoo senr,wa ebeusca eht vlrei nca sllit otenugjca all iiirlu,nbb it ujst sah siesus onw etiercgxn hatt congdteuja o.mrf oS teh amwn'os DOATGCNJUE luinibbir is orme leykli to be eeat.lvde

+0 upvote downvote
submitted by lilyo(52),

Cholestasis will present with elevated conjugated bilirubin, Alkaline phosphatase, GGT. Depending on the cause for cholestasis it can present with pale stools and dark urine.