Medicine

Last updated on: January 30th, 2021

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You’re looking at an interactive case study from Prognosis: Your Diagnosis (one of four distinct learning formats available in Clinical Odyssey). Try it out, and have fun improving your clinical skills.

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A 40 year old man presents with jaundice and dull abdominal pain for 1 week, and a high grade, intermittent fever with chills and rigors for 2 weeks. The pain was initially periumbilical, but became generalized over time; it was unaltered by meals or posture.


He is a heavy drinker. There is no history of IV drug abuse or sexual promiscuity. He arrived home 3 weeks ago, after spending a month in Kenya.


His FBC is significant for WBC/DC 14,600/mm3 with 85% neutrophils, Hb 11.9 g/dL, and platelets 130,000/mm3.


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