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BOF :3.9

A 65-year-old male presents with a wound infection complicating repair of an inguinal hernia. The patient is septic with a neutrophil leucocytosis, normal haemoglobin and normal reticulocyte count and platelet count. The patient’s serum bilirubin is raised but serum transaminases and alkaline phosphatase are normal.

This condition is due to:

a)     Cholestasis associated with severe sepsis

b)      Shocked liver

c)      Pyogenic liver abscess

d)      Enlarged lymph nodes at the porta-hepatis

e)      Haemolysis

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