system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 57-year-old man presents with fever and yellow discoloration of the skin for the past 4 days. He denies any recent weight loss or changes in urine or stool color. His past medical history is unremarkable. He admits to drinking about 130 g/day of alcohol and says he has been doing so for the past 25 years. His wife who is accompanying him during this visit adds that once her husband drank 15 cans of beer at a funeral. The patient also reports a 10-pack-year smoking history. His vital signs include: pulse 98/min, respiratory rate 13/min, temperature 38.2°C (100.8°F) and blood pressure 120/90 mm Hg. On physical examination, the patient appears jaundiced and is ill-appearing. Sclera is icteric. Abdominal examination reveals tenderness to palpation in the right upper quadrant with no rebound or guarding. Percussion reveals significant hepatomegaly extending 3 cm below the right costal margin. Laboratory studies are significant for the following:
Sodium 135 mEq/L
Potassium 3.5 mEq/L
ALT 240 mEq/L
AST 500 mEq/L
A liver biopsy is obtained but the results are pending. Which of the following would most likely be seen in this patient’s biopsy?
assistant
Mallory-Denk bodies