A 62-year-old woman with a long-standing history of pruritus and fatigue presented to the clinic with a 2-month history of jaundice and abdominal swelling. On examination, scratch... A 62-year-old woman with a long-standing history of pruritus and fatigue presented to the clinic with a 2-month history of jaundice and abdominal swelling. On examination, scratch marks were seen. She was jaundiced with clubbing of her fingers. Abdominal examination revealed splenomegaly with ascites (see lab results and report). US Abdomen: Showed coarse liver with a 3 cm focal lesion at the right lobe. Which of the following is the most appropriate next step?

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Understand the Problem

The question presents a clinical case of a 62-year-old woman with several symptoms and lab results, and asks what is the most appropriate next diagnostic step, this is a medical diagnostic question.

Answer

Triphasic CT scan of the abdomen.

The most appropriate next step is a Triphasic CT scan of the abdomen.

Answer for screen readers

The most appropriate next step is a Triphasic CT scan of the abdomen.

More Information

A triphasic CT scan is used to characterize focal liver lesions.

Tips

Make sure to review the normal lab values to determine which are abnormal.

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