QUIZ - weight loss, jaundice, high AFP and a liver mass. What's the diagnosis? #shorts #health

QUESTION: A 55-year-old male presents with a two-month history of weight loss, decreased appetite, and a dull ache in the right upper quadrant of the abdomen. He has a history of chronic hepatitis B infection and admits to being a heavy drinker for many years. On examination, he appears jaundiced with mild ascites. His liver is palpable 3 cm below the costal margin. Laboratory tests reveal elevated liver enzymes, and an alpha-fetoprotein (AFP) level is markedly increased. An abdominal ultrasound shows a 4 cm mass in the right lobe of the liver.

Based on the clinical presentation, what is the most likely diagnosis?

A. HEPATITIS A
B. NON-ALCOHOLIC FATTY LIVER DISEASE
C. LIVER CANCER

Comment your answer

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Correct answer and logic:

C. Liver cancer

Of the 3 options, option C is the most likely. The patient's history of chronic hepatitis B infection and heavy alcohol use, along with the clinical presentation of weight loss, abdominal pain, jaundice, ascites, and a palpable liver mass, strongly suggests a diagnosis of liver cancer. The elevated AFP level and the ultrasound findings further support this diagnosis. Liver cancer is particularly common in individuals with chronic liver diseases like hepatitis B and cirrhosis, often due to alcohol abuse.

For more information on liver cancer see: https://www.nhs.uk/conditions/liver-cancer/

Видео QUIZ - weight loss, jaundice, high AFP and a liver mass. What's the diagnosis? #shorts #health канала Doctor O'Donovan