Q:

A 4 month old girl has severe FTT (Failure To Thrive) and increasing jaundice which was 1st noticed at 1wk of age. She has an enlarged liver and scratches on her skin. Her parents have been unable to seek medical care. What is the most likely diagnosis?

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A 4 month old girl has severe FTT (Failure To Thrive) and increasing jaundice which was 1st noticed at 1wk of age. She has an enlarged liver and scratches on her skin. Her parents have been unable to seek medical care. What is the most likely diagnosis?


  1. Biliary atresia
  2. G6PD deficiency
  3. Hep B
  4. Spherocytosis

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The key is A. Biliary atresia. [Increasing jaundice at this age with failure to thrive, enlarged liver and scratches (itching) indicate cholestatic jaundice likely from biliary atresia].

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