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{{WBRQuestion
{{WBRQuestion
|MainCategory=Gastrointestinal
|SubCategory=Pathology
|SubCategory=Pathology
|Prompt=A 52-year-old man comes to your office with recent issues of fatigue, low-grade fever, anorexia, and pruritus. He states that he can feel small bumps under his skin in his neck and that they seem to get painful when he drinks alcohol. Lab studies show a normal WBC, Hct, Hb, electrolytes, renal function, and glucose. You refer him to a surgeon to obtain a lymph node biopsy and the next day the pathologist calls you and describes "owl-eyed" appearance of abundant lymphocytes. What is the most likely diagnosis?
|Prompt=A 52-year-old man comes to your office with recent issues of fatigue, low-grade fever, anorexia, and pruritus. He states that he can feel small bumps under his skin in his neck and that they seem to get painful when he drinks alcohol. Lab studies show a normal WBC, Hct, Hb, electrolytes, renal function, and glucose. You refer him to a surgeon to obtain a lymph node biopsy and the next day the pathologist calls you and describes "owl-eyed" appearance of abundant lymphocytes. What is the most likely diagnosis?
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|RightAnswer=E
|RightAnswer=E
|Explanation=This patient has many classic signs of lymphoma. Labs are indicative of early disease, and biopsy results indicate conclusively that Hodgkin's lymphoma is present.
|Explanation=This patient has many classic signs of lymphoma. Labs are indicative of early disease, and biopsy results indicate conclusively that Hodgkin's lymphoma is present.
|Approved=No
}}
}}

Revision as of 12:39, 31 October 2012

 
Author PageAuthor::
Exam Type ExamType::
Main Category MainCategory::Gastrointestinal
Sub Category SubCategory::Pathology
Prompt [[Prompt::A 52-year-old man comes to your office with recent issues of fatigue, low-grade fever, anorexia, and pruritus. He states that he can feel small bumps under his skin in his neck and that they seem to get painful when he drinks alcohol. Lab studies show a normal WBC, Hct, Hb, electrolytes, renal function, and glucose. You refer him to a surgeon to obtain a lymph node biopsy and the next day the pathologist calls you and describes "owl-eyed" appearance of abundant lymphocytes. What is the most likely diagnosis?]]
Answer A AnswerA::Tuberculosis
Answer A Explanation AnswerAExp::
Answer B AnswerB::Hepatitis
Answer B Explanation AnswerBExp::
Answer C AnswerC::Metastatic cancer
Answer C Explanation AnswerCExp::
Answer D AnswerD::Non Hodgkin's lymphoma
Answer D Explanation AnswerDExp::
Answer E AnswerE::Hodgkin's lymphoma
Answer E Explanation AnswerEExp::
Right Answer RightAnswer::E
Explanation [[Explanation::This patient has many classic signs of lymphoma. Labs are indicative of early disease, and biopsy results indicate conclusively that Hodgkin's lymphoma is present.

Educational Objective:
References: ]]

Approved Approved::No
Keyword
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