[Verified Answer]: A 50 year old male presents to his primary…

A 50 year old male presents to his primary care physician with complaints of intermittent abdominal “fullness”, and weight loss over the last 3 months which he attributed to changes in his diet. He has been self-managing these symptoms because he is too busy. What brought him in to see the PCP was his wife’s observation of a yellow tinge to his skin. He has no other health issues, but does have a 30 year history of smoking 1 pack of cigarettes per day. He also admits to drinking a daily glass (~6oz) of whisky or two to relax after work. He has five children, the oldest of which will start college in the fall and he has already made plans to increase his work hours to pay for tuition. He only agreed to an appointment because his wife insisted. His PCP suspects hepatic cancer.