5 Days Of Right in Medicine / Internal Medicine — Case | Hepatology | SMLE Q#18417

SMLE Question #18417

Medicine / Internal Medicine Hepatology

Objective: OBJ-IM-HEP-001

Last updated: February 2026
A 28-year-old previously healthy man presents with 5 days of right upper quadrant pain, nausea, and two episodes of vomiting. Over the last 2 days, his family noticed yellowing of his eyes and skin. He denies alcohol use, acetaminophen overuse, and injection drug use. He is jaundiced with right upper quadrant tenderness. Which of the following is the most appropriate next step in diagnosis?

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