| Symptoms
& History
Physical
Findings
Stop
& Think
Lab
and X-Ray
Differential
Diagnosis
The
Disease
Treatment
Conclusions
Quiz
& Evaluation |
|
Much
of the information we have supports the assertion that Mr. Weiser's liver
is sick.
-
History: Alcohol
intake, easy of bruising, confusion. The abdominal pain and vomiting, however,
still points to something with the gastrointestinal tract.
-
Physical:
Icterus,
spider angiomas, palpable spleen, possible fluid wave of the abdomen.
-
Abdominal
CT: "Ratty" looking liver and enlarged
spleen. (Why is the spleen enlarged?)
-
Lab
values:
-
Anemia
(Why is it macrocytic?)
-
Enzymes
indicate both parenchymal and biliary disease.
-
Bilirubin
(conjugated vs unconjugated?)
-
Clotting
studies
-
Serum
albumen
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|