MCQ – 89130


A 58 y/o male presents to a local hospital with a 3-month history of yellow discoloration of eyes. The patient denies alcohol use, recreational drugs, and has smoked one pack per day for the last 30 years. Most of the preliminary workup is negative for viral hepatitis. A decision is made to perform a liver biopsy. The patient has an uneventful recovery after biopsy and is discharged the same day. He returns 24 hours later with severe abdominal pain and shortness of breath. Vitals show blood pressure, 110/50 mmHg, heart rate 130 bpm, and pulse oximetry shows 85% saturation. Ultrasound of the abdomen is normal. What should be the next step?
A. Complete blood count

CT scan of the abdomen


Chest x-ray


Repeat ultrasound

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