A 55-year-old woman presents to the physician for a 3-month history of fatigue and diffuse itchiness. Vitals are: temperature 98.6F, HR 80, RR 14, BP 140/90. Laboratory studies show: ALP 300 IU/L, total bilirubin 4.0 mg/dL, serum amylase 40 U/L. She has no history of pain. The patient’s abdomen and left hand are shown.
Which of the following is the next best step in diagnosis?
Abdominal ultrasound
CT of the abdomen
Endoscopic ultrasound
Endoscopic retrograde cholangiopancreatography
HIDA scan
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Cut-to-the-chase Answer (0:48):
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HY USMLE Answer (11:27):
