Hepatomegaly. ? Cause

SELF ASSESSMENT ANSWERS Unusual cause of fever, jaundice, and hepatomegaly in a middle aged man

Q1: In this patient’s clinical context, how do you interpret the laboratory tests on admission (table 1; see p 566) and those done between days 2–4 (table 2; see p 566)? This patient had a subacute febrile illness with constitutional symptoms and progressive jaundice. Initial laboratory tests showed severe anaemia with an increased reticulocyte count (corrected for the degree of anaemia) and re...

SELF ASSESSMENT ANSWERS Unusual cause of fever, jaundice, and hepatomegaly in a middle aged man

Q1: In this patient’s clinical context, how do you interpret the laboratory tests on admission (table 1; see p 566) and those done between days 2–4 (table 2; see p 566)? This patient had a subacute febrile illness with constitutional symptoms and progressive jaundice. Initial laboratory tests showed severe anaemia with an increased reticulocyte count (corrected for the degree of anaemia) and re...

Pulsatile hepatomegaly in constrictive pericarditis.

In a study of 30 consecutive patients with constrictive pericarditis diagnosed by clinical, radiological, and echocardiographic criteria 21 (70%) were found to have pulsatile hepatomegaly. The pulsations were felt clinically and confirmed by external hepatic recordings. These pulsations conformed almost identically to the jugular venous pulsations in the neck. The hepatic pulsations disappeared...

Unusual cause of fever, jaundice, and hepatomegaly in a middle aged man.

SELF ASSESSMENT ANSWERS Unusual cause of fever, jaundice, and hepatomegaly in a middle aged man

Q1: In this patient’s clinical context, how do you interpret the laboratory tests on admission (table 1; see p 566) and those done between days 2–4 (table 2; see p 566)? This patient had a subacute febrile illness with constitutional symptoms and progressive jaundice. Initial laboratory tests showed severe anaemia with an increased reticulocyte count (corrected for the degree of anaemia) and re...