Case 13

Abdominal radiographic examination

Microhepatica is noted; the rest of the abdomen appears normal.

QUESTION 4

Given the small liver, microcytic anemia, and serum chemistry profile abnormalities, what would be your next diagnostic step for Olivia? (There is more than one correct answer.)

a) An abdominal ultrasonographic examination

b) Pre- and post-prandial serum bile acid assay

c) Resting bile acid concentration

d) Hepatic biopsy

e) Low-dose dexamethasone suppression test

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