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A 81 y/o male was admitted because of jaundice, fever and epigastralgia 1.History 需需需需需需2.需需需 Differential Diagnos is? 3.需需需需需需需 需需需需需需需 ??

A 81 y/o male was admitted because of jaundice, fever and epigastralgia

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A 81 y/o male was admitted because of jaundice, fever and epigastralgia. History 需再增加什麼? 有那些 Differential Diagnosis? 要安排那些檢查?預期有何發現?. Pre-contrast CT. Pre-contrast CT. Post-contrast CT. Post-contrast CT. Post-contrast CT. Post-contrast CT. ERC. Plastic stent insertion. - PowerPoint PPT Presentation

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Page 1: A 81 y/o male was admitted because of jaundice, fever and epigastralgia

A 81 y/o male was admitted because of jaundice, fever and epigastralgia

1. History 需再增加什麼?

2.有那些 Differential Diagnosis?

3.要安排那些檢查?預期有何發現?

Page 2: A 81 y/o male was admitted because of jaundice, fever and epigastralgia

Pre-contrast CT

Page 3: A 81 y/o male was admitted because of jaundice, fever and epigastralgia

Pre-contrast CT

Page 4: A 81 y/o male was admitted because of jaundice, fever and epigastralgia

Post-contrast CT

Page 5: A 81 y/o male was admitted because of jaundice, fever and epigastralgia

Post-contrast CT

Page 6: A 81 y/o male was admitted because of jaundice, fever and epigastralgia

Post-contrast CT

Page 7: A 81 y/o male was admitted because of jaundice, fever and epigastralgia

Post-contrast CT

Page 8: A 81 y/o male was admitted because of jaundice, fever and epigastralgia

ERC

Page 9: A 81 y/o male was admitted because of jaundice, fever and epigastralgia

Plastic stent insertion

Page 10: A 81 y/o male was admitted because of jaundice, fever and epigastralgia

Plastic stent insertion

Page 11: A 81 y/o male was admitted because of jaundice, fever and epigastralgia

S/P Plastic stent insertion

Page 12: A 81 y/o male was admitted because of jaundice, fever and epigastralgia

Final Diagnosis

Hepatocellular Carcinoma with Biliary Tree Invasion

and Hemobilia