Ischemic Heart Disease in Medicine / Internal Medicine — 50yo Man | Hepatology | SMLE Q#1331
SMLE Question #1331
Medicine / Internal Medicine
Hepatology
Objective: OBJ-HEP-01
Last updated: February 2026
A 50-year-old man with ischemic heart disease and type 2 diabetes is in the ICU for severe pneumonia treated with broad-spectrum antibiotics. Liver tests on admission were normal. On hospital day 3, he develops hypotension requiring IV fluids and vasopressor support. The next day, he becomes jaundiced. Abdominal ultrasound shows no biliary dilatation and no gallbladder abnormalities. What is the most likely diagnosis?
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