NBME 20 Answers : Block 2 : #35 = A 36-year-old woman comes to the office because of ...

nbme20/Block 2/Question#35

A 36-year-old woman comes to the office because of ...

Splenomegaly

+3 upvote downvote
submitted by beeip(34),

Liver looks pretty normal-sized to me. Pic here for comparison

+1 upvote downvote
submitted by hello(24),

Spleen is enlarged. Compare it to CT scan showing normal-sized spleen:

http://www.startradiology.com/uploads/scroll/18/14hiu6b3qot5.jpg

+0 upvote downvote
submitted by sympathetikey(102),

Spleen so huge -- look like this girl has 2 livers.

+0 upvote downvote
submitted by thomas(5),

Looked like hepatosplenomegaly, but I went with liver b/c the edema could be due to liver dysfunction.

+0 upvote downvote
submitted by strugglebus(43),

I thought the liver looked huge af too lol which made me requisition the whole radiograph

+0 upvote downvote
submitted by medschul(4),

I can get behind splenomegaly, but what is the disorder?

sup Felty syndrome, an extraarticular manifestation of RA. Symptoms include a triad of RA, splenomegaly and neutropenia. It's in FA, you just have to squint (look at the fine print under the RA vs OA table in the MSK section). +

-1 upvote downvote
submitted by medbitch94(4),

WHY she has a huge ass liver too? I don't understand how you can choose big spleen over big liver or visa versa