A 57-year-old man presents with fatigue for several months and has noticed recently that the waistbands of his pants are tight in spite of a 15-lb weight loss. He has not had diarrhea, nausea, vomiting, or other gastrointestinal symptoms. He does not take any medications and denies using illegal drugs. He underwent a blood transfusion with several units in 1982 after an automobile accident. Physical examination reveals generalized jaundice, a firm nodular liver edge just below the right costal margin, and a mildly protuberant abdomen with a fluid wave. Initial laboratory studies show the following: Questions What is the most likely diagnosis? What are the possible etiologies of this disorder? What other tests would be appropriate? What are the possible complications?
A 57-year-old man presents with fatigue for several months and has noticed recently that the waistbands of his pants are tight in spite of a 15-lb weight loss. He has not had diarrhea, nausea, vomiting, or other gastrointestinal symptoms. He does not take any medications and denies using illegal drugs. He underwent a blood transfusion with several units in 1982 after an automobile accident. Physical examination reveals generalized jaundice, a firm nodular liver edge just below the right costal margin, and a mildly protuberant abdomen with a fluid wave. Initial laboratory studies show the following:
Questions
What is the most likely diagnosis?
What are the possible etiologies of this disorder?
What other tests would be appropriate?
What are the possible complications?
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