| Symptoms
& History
Physical
Findings
Stop
& Think
Lab
and X-Ray
Differential
Diagnosis
The
Disease
Treatment
Conclusions
Quiz
& Evaluation |
|
Poor
Mr. Weiser never left the hospital.
His
last day:
-
At 2 AM, his varices
began to bleed.
-
Because of his portal hypertension,
reduced clotting factors and low platelet count, he exsanguinated
before it was obvious what was happening.
Autopsy findings:
-
Advanced micronodular cirrhosis.
-
Splenic hypertrophy.
-
Esophageal varices with evidence
of recent hemorrhage.
-
Two liters of fresh and partially
digested blood in GI tract.
-
Mild cerebral edema.
-
Moderate coronary and systemic
athersclerosis.
-
Caput medusae and spider angiomas
of chest.
The take
home message.
Back |
|