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Gastrointestinal System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"The icteric patient is one of the more concerning presentations in primary care; a focused clinical evaluation and investigative workup are key towards quickly and accurately diagnosing these individuals.\n\nConsidering the lady in this case, note the presence of associated pruritus. While the pathophysiology of this phenomenon is still unclear, it is generally accepted as being more suggestive of cholestasis (which might be due to hepatic or extrahepatic causes).\n\nShe also experienced the same symptoms around an year ago, indicating that this might be an episodic etiology. An astute clinician might wonder if this might be due to gallstones.\n\nHer physical examination does not reveal any significant abnormalities, except for mild hepatomegaly "}]}

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