Question
A 42-year-old male has a protuberant abdomen, thin extremities, yellow skin, gynecomastia, spider angiomas, testicular atrophy, and confusion. What is the most likely diagnosis?
| A. |
Metastatic lung cancer
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| B. |
Metastatic colon cancer
|
| C. |
Cirrhosis
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| D. |
Right heart failure
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Show Answer
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Correct Answer � C
Explanation
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|
Ans. c. Cirrhosis
The patient has advanced cirrhosis with hepatic encephalopathy.
Globally, hepatitis B accounts for 57% of cirrhosis cases, hepatitis C 27%, and alcohol 20%.
Common laboratory findings include elevated aspartate transaminase (AST) and alanine transaminase (ALT) with AST greater than ALT, thrombocytopenia, elevated prothrombin time, and hyponatremia.
Liver biopsy is the gold standard for diagnosis.
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