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NBME 20 Answers

nbme20/Block 2/Question#35

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

Splenomegaly

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 +4  upvote downvote
submitted by beeip(38),

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


 +1  upvote downvote
submitted by hello(29),

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(133),

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(46),

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  

 -2  upvote downvote
submitted by medbitch94(3),

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