MB 1
BULLETS
Free CME
Please confirm topic selection

Are you sure you want to trigger topic in your Anconeus AI algorithm?

Please confirm action

You are done for today with this topic.

Would you like to start learning session with this topic items scheduled for future?

Review Question - QID 109393

Transplant Transplant Rejection QID: 109393 (M1.IM.17.4817)
In scope icon M 1 C
QID 109393 (Type "109393" in App Search)
A 61-year-old-male underwent deceased donor liver transplantation 3 weeks ago. During his follow up visit he complains of nausea and abdominal pain. He has been taking all of his medications as prescribed. He has a history of alcohol abuse and his last drink was one year ago. He does not smoke cigarettes and lives at home with his wife. On physical examination temperature is 98.6°F (37°C), blood pressure is 115/80 mmHg, pulse is 90/min, respirations are 18/min, and pulse oximetry is 99% on room air. He has scleral icterus and a positive fluid wave. Liver function tests are as follows:

Alkaline phosphatase: 110 U/L
Aspartate aminotransferase (AST, GOT): 100 U/L
Alanine aminotransferase (ALT, GPT): 120 U/L
Bilirubin total: 2.2 mg/dL

Liver biopsy shows mixed dense interstitial lymphocytic infiltrates in the portal triad. What is the mechanism of this reaction?
Type in at least one full word to see suggestions list