TY  - JOUR
T1  - IMage of the month—quiz case
AU  - Landmann A, Makipour J, Morgan A, et al
Y1  - 2013/01/01
N1  - 10.1001/jamasurgery.2013.412a
JO  - JAMA Surgery
SP  - 101
EP  - 101
VL  - 148
IS  - 1
N2  - 
A 50-year-old previously healthy man presented to the emergency department with epigastric pain for the past 3 months. He reported a 13.6-kg weight loss during this period with no nausea, vomiting, or diarrhea. He reported pruritus and dark, brown urine. He was notably jaundiced on physical examination, and his total bilirubin level was 7.7 mg/dL (to convert to micromoles per liter, multiply by 17.104). Notable laboratory findings include a Westergren erythrocyte sedimentation rate greater than 100 mm/h and a total protein level of 9.0 g/dL (reference range, 6.1-7.7 g/dL; to convert to grams per liter, multiply by 10.0). His medical history was significant for a cholecystectomy, nephrolithiasis, hypertension, and hypercholesterolemia.

SN  - 2168-6254
M3  - doi: 10.1001/jamasurgery.2013.412a
UR  - http://dx.doi.org/10.1001/jamasurgery.2013.412a
ER  -