Hepatic Pathology Set 1

For each of the following patients, select the most likely pathologic finding:

1. A 40-year-old healthy woman has used oral contraceptives for years. After an episode of abdominal trauma, an abdominal CT scan is performed and reveals no evidence for hematoma, but there is a 4 cm discrete mass in the right lobe of the liver:

2. A 50-year-old man has a long history of chronic alcoholism:

3. Chlorpromazine is prescribed for protracted nausea and vomiting in a 35-year-old woman. A couple of weeks later she has the abrupt onset of a fever with erythematous, pruritic skin rash, dark urine, light-colored stools, nausea, and vomiting. She notes scleral icterus. Laboratory findings include: total protein 7.7 g/dL, albumin 4.6 g/dL, alkaline phosphatase 85 U/L, AST 101 U/L, ALT 99 U/L, total bilirubin 5.5 mg/dL, and direct bilirubin 4.8 mg/dL:

4. A 5-year-old child accidentally ingests a large quantity (more than 20 g) of acetaminophen:

5. Routine halothane anesthesia is administered to a 31-year-old man undergoing appendectomy:

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