A 60 year old male carpenter has been heavily drinking since he was 15. He has long standing complaints of weakness and weight loss.

Question Number 0514

Question:
A 60 year old male carpenter has been heavily drinking since he was 15. He has long standing complaints of weakness and weight loss. His condition worsens and he develops extreme nausea, anorexia and abdominal pain. On physical exam, his liver is enlarged and firm. He has numerous spider nevi. His laboratory results show a macrocytic anemia, elevated liver enzymes, elevated alkaline phosphatase and a negative alpha fetoprotein. What is the most likely condition?

a) pancreatic carcinoma
b) hemochromatosis
c) Laennec's cirrhosis
d) hepatitis A
e) hepatocellular carcinoma


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