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Second Aid for the USMLE
NBME Answers & Explanations
NBME 24 Answers
A 58-year-old man is brought to the emergency ...
Pretty straightforward, but a good reminder that myelofibrosis can cause an enlarged spleen.
Due to extramedullary hematopoesis
I thought it was spleen but the fact that hematocrit was 24% 4 HOURs later made me think otherwise. It was my understanding that the spleen would bleed you out quick!
couldn't also be ruptured spleen because they said intraperitoneal fluid and everything else is retroperitoneal ??
one does not simply “walk into morder”