Mr Mok Lang, 67 year old Chinese gentleman, a known case of hypercholesterolaemia was admitted to Selayang Hospital with the chief complaint of right upper quadrant pain 5 days prior to admission. It is associated with yellowish discoloration of skin, vomiting and fever. He is an ex-smoker and occasional drinker.
On examination, he is afebrile and other vital signs are normal. There is yellowish of sclera. There is guarding and tenderness over the right upper quadrant. There was hepatomegaly. Murphy’s sign positive.
what's ur differential diagnosis????
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