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47 yof pt. Ultrasound "starry night" hepatitis. Why no changes in CT?

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\n\na 40 year old medicaly free female patient came to ER with decrease LOC and yellowish descoloration of skin a sclera of two days duration before 5 days of presenting to ER she done C/S ( because of umbilical cord was twisted ) and the baby was totaly healthy and full term and there is no gestational complications and this is her fourth baby and no past hx of any similar symptoms ,no self or Fx of autoimmune diseases her direct billirubin was very high ,she is negative for hepatitis what are the most probable diagnosis ?

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\n\npatient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?