PAMJ Clinical Images Quiz

PAMJ - CLINICAL IMAGES QUIZ

Images in Clinical Medicine Quiz allows clinicians, interns, medical students alike to test their clinical knowledge using articles published in the PAMJ. The PAMJ Image Quiz is distributed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0).

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A 49 years old man presented to the emergency department complaining of abdominal pain. He had no medical history and no alcoholism or drug consumption. The pain started 2 days before, accompanied by vomiting and without bowel disturbances. On examination the patient was jaundiced, conscious, cooperative, afebrile, the heart rate was at 110 beats / min, Blood Pressure at 160/82 mmHg, respiratory rate was 25c/min. The pain was epigastric without special irradiation, laboratory data demonstrated a high level of serum lipase: 1199U/L (normal 22-51U/L), total bilirubin 68 mg/l (normal 3-12mg/L), alanine aminotransferase, 183U/L (normal 14-54U/L); aspartate aminotransferase, 105 U/L (normal 15-41 U/L); alkaline phosphatase, 306U/L (normal 32-91U/L); gamma glutamyl trans peptidase 656 U/L (normal 7-50U/L), creatinine, urea levels and Complete blood count were normal . MRI was performed. What is your diagnosis?

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The PAMJ Clinical Quiz comes from manuscripts submitted in PAMJ journals mostly in the category Images in Clinical Medicine, or Case Reports. Quiz questions are developed by PAMJ Clinical Editors and provide an opportunity to health professionals, clinicians, and medical students to test their clinical skills. Distributed under the terms of CC BY 4.0. Feedback: editor@panafrican-med-journal.com.

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Articles published in Pan African Medical Journal are Open Access and distributed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0).

The Pan African Medical Journal (ISSN: 1937-8688) is a subsidiary of the Pan African Medical Journal. The contents of this journal is intended exclusively for professionals in the medical, paramedical and public health and other health sectors.

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