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A 74-year-old man was admitted to the hospital because of recent, progressive jaundice.
The patient had a long history of hypertension and type 2 diabetes mellitus, both of which were adequately controlled, and of peripheral atherosclerosis. A renal transplantation had been performed 10 years before the current admission because of end-stage diabetic nephropathy, and the patient continued to receive cyclosporine and azathioprine as maintenance therapy. In recent years, he had become confused, with failing memory.
The patient resided in a nursing home. Four weeks before admission, progressive jaundice developed, with dark urine and light stools but without pain. Three days
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Dr. Daniel S. Pratt's Diagnoses
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References
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