Coauthored with Michael Mulholland, MD, PhD
Wednesday March 10, 2010
Paul Roscoe was a 72-year-old businessman enjoying an active retirement, traveling extensively, and engaging in a number of community projects. Without warning, over a period of a week, Mr. Roscoe’s skin became noticeably yellow, his urine turned a dark brown, and he developed a severe itch. Alarmed, he sought the counsel of his internist, Dr. Myron Stein.
“You’ve got an abdominal mass and skin changes consistent with jaundice,” Dr. Stein explained to Paul. “I’m going to order some blood tests, including one for liver function. I’ll call you when I get the results.”
Paul’s blood sample was drawn in the office and sent to a nearby ...