PBL Sessions: Reproductive Organ System
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Page 8
History of Present Illness:
Three years later, except for general fatigue, she had been feeling quite well. However, recently she has noticed an increasing number of large, dilated veins along her abdominal wall. She is particularly irritated by subcutaneous nodules, which are moderately painful at pressure points such as around the belt and bra. This is why she has returned to the clinic.
A CBC shows the following: WBC count 6510/microliter, Hgb 12.9 g/dL, Hct 38.8%, MCV 87 fL, and platelet count 95,000/microliter.
Figure 10: Abdominal appearance
Figure 11: Digital "scout" view taken with CT.
Figure 12: CT images through the mid portion and caudal portion of the liver.
Figure 13: CT images through the mid portion and caudal portion of the liver.
A 3rd year medical student, upon reviewing the history, discusses the case with the preceptor, and a set of laboratory tests are ordered to determine if there is an underlying cause for these findings.
Tasks
What changes have occurred since the CT Scans obtained three years ago?
Do these images help explain the procedure done on the patient three years ago?
Do the current images explain the patient's current problems?
What laboratory tests do you think were ordered?
Stop !! Complete discussions and tasks before moving to the next page.
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