Question: Case Study 10-7 A 60-year-old Man With A History Of Alcoholism Is Seen In An Urgent Care Clinic; He Complains Of Extreme Pain In His Upper Abdomen. He Has Been Experiencing Pain On And Off For The Past 10 Days. Now He Is Yellow (jaundiced) And Feels Extremely Ill. He Also Mentions That His Stool Specimens Have Lost Their Normal Color And Look Like Clay. …

Case Study 10-7 A 60-year-old man with a history of alcoholism is seen in an urgent care clinic; he complains of extreme pain in his upper abdomen. He has been experiencing pain on and off for the past 10 days. Now he is yellow (jaundiced) and feels extremely ill. He also mentions that his stool specimens have lost their normal color and look like clay. Blood is drawn for testing and urine collected for urinalysis. The following urinalysis results were obtained: Physical Appearance Color: Brown (yellow-brown) Transparency: Clear Chemical Screening pH: 6.5 Specific gravity: 1.020 Protein (reagent strip): Negative Blood: Negative Nitrite: Negative Leukocyte esterase: Negative Glucose: Negative Ketones: Negative Bilirubin: Large Urobilinogen: Normal Microscopic Examination Red blood cells: 0-2/hpf White blood cells: 0-2/hpf Critical Thinking Questions 1. Based on the patient’s history and the urinalysis results, what is the biological cause of this patient’s jaundice? 2. How is this patient’s physiology disrupted to produce abnormal laboratory results?