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Klatskin tumors and other cholangiocarcinoma - Lieberman's ...

Klatskin tumors and other cholangiocarcinoma - Lieberman's ...

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Index Patient: KR<br />

53M presented to PCP with painless jaundice<br />

ROS: Nausea, diarrhea, 20lb weight loss over<br />

last two months, dark urine, mild pruritus<br />

PE: jaundice, sublingual <strong>and</strong> scleral icterus,<br />

epigastric tenderness to palpation, no HSM<br />

Labs: Tbili: 23.8 (direct 19.4), AP 494, ALT 50,<br />

AST 90<br />

3

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