1. CASE 3 Paderna, Nikki Padolina, Dianna Pagkalinawan, Leah Palacpac, Katrina Palisoc, Rey Martin Palma, Sharlene Mae

2. General Information 58-year old male CHIEF COMPLAINT : Progressive Jaundice

3. 2 months PTC Vague abdominal pain anorexia 1 month PTC Progressive yellowish discoloration of sclera Tea-colored urine Pruritus Acholic stools Weight loss 20% History of Present Illness

4. Past Medical History (+) Hypertension, for the past 10 years (-) Hepatitis (-) Diabetes Mellitus Medical Intake: - Captopril, Metoprolol

5. Personal & Social History Heavy smoker (1 pack a day for the last 3 years) Occasional alcoholic beverage drinker

6. Salient Features 58-year old male Progressive jaundice, yellowish discoloration of sclera, tea-colored urine, pruritus, acholic stools, weight loss since a month ago Hypertensive No history of Hepatitis Vague ballotable mass at the RUQ No fluid wave

7. Physical Examination General *Icteric sclera *Vital signs – normal *(-) palpable cervical or supraclavicular lymph nodes Heart and lungs - normal

8. Physical Examination Abdomen *Globular *Vague ballotable mass at the RUQ *Smooth, not tender and moves with respiration *(-) fluid wave Rectal exam *Acholic stools