TY  - CHAP
M1  - Book, Section
TI  - Chapter 61. Liver Disease
A1  - Usatine, Richard P.
A1  - Smith, Mindy A.
A1  - Chumley, Heidi S.
A1  - Mayeaux, E.J.
PY  - 2013
T2  - The Color Atlas of Family Medicine, 2e
AB  - A  64-year-old  woman  presents  with  complaints  of  itchy  skin  and  fatigue.  She  is  noted  on  physical  examination  to  have  scleral  icterus  and  jaundice  (Figure  61-1).  Laboratory  testing  revealed  elevated  liver  enzymes,  particularly  the  serum  alkaline  phosphatase  and  γ-glutamyltranspeptidase,  and  positive  antinuclear  and  antimitochondrial  antibodies.  A  liver  biopsy  confirmed  primary  biliary  cirrhosis.  Two  months  later,  she  vomited  up  some  blood  and  on  endoscopy  was  found  to  have  esophageal  varices  from  her  portal  hypertension  (Figure  61-2).  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessmedicine.mhmedical.com/content.aspx?aid=57674030
ER  -