Gastrointestinal System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This patient has presented with fever, jaundice, and abdominal pain - an ominous group of symptoms known as Charcot\u2019s triad; this is highly suggestive of acute suppurative cholangitis, a surgical emergency.\n\nConsidering the history of alcohol abuse, two other emergencies should also be kept in mind - acute pancreatitis and spontaneous bacterial peritonitis, both of which can be rapidly fatal if not diagnosed and treated promptly.\n\nHowever, the examination brings up a surprising finding: massive hepatomegaly. This is not compatible with the above diagnoses, and is instead suggestive of a hepatic abscess, hepatoma or severe malaria.\n\nThe next step should be a liver profile and ultrasound scan of the abdomen; unfortunately, the former is onl"}]}

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