PBL Sessions: Musculoskeletal Organ System

Page 7

History of Present Illness:

A serum ferritin level is obtained that is 4328 ng/mL.

His serum ANA is negative, and his rheumatoid factor is not elevated.

Figure 7: MR image of abdomen

You are advised by a consultant that, if therapy is not initiated, the patient will die.

Tasks

• What do these findings indicate?

• What hypotheses explain these findings?

• Explain your reasoning for the hypotheses you choose

• Can you explain the pathophysiology of the disease process in this patient?

• What laboratory testing would you get?

Stop !! Complete discussions and tasks before moving to the next page.