NBME 24 Answers : Block 1 : #49 = A 58-year-old man is brought to the emergency ...

+2 upvote downvote
submitted by sympathetikey(436),

Pretty straightforward, but a good reminder that myelofibrosis can cause an enlarged spleen.

sympathetikey Due to extramedullary hematopoesis +3

zoggybiscuits 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! +

need_answers couldn't also be ruptured spleen because they said intraperitoneal fluid and everything else is retroperitoneal ?? +