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Health, 02.03.2020 22:48 jakails7532

A 63‐year‐old janitor with a history of adenomatous colonic polyps presents for a well visit. Basic labs are performed to screen for diabetes mellitus and dyslipidemia. Electrolytes and liver enzymes were also measured. His labs are all normal expect for moderate elevations of aspartate aminotransferase, alanine aminotransferase, γ‐glutamyl transferase, and alkaline phosphatase as well as a mildly elevated total bilirubin. He presents for a follow‐up appointment and the clinician performs an abdominal exam to assess his liver. Which of the following findings would be most consistent with hepatomegaly?
a) Liver span of 11 cm at the midclavicular line
b) Liver palpable 3 cm below the right costal margin, mid clavicular line, on expiration
c) Dullness to percussion over a span of 11 cm at the midclavicular line
d) Dullness to percussion over a span of 8 cm at the midsternal line
e) Liver span of 8 cm at the midsternal line

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A 63‐year‐old janitor with a history of adenomatous colonic polyps presents for a well visit. Basic...

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