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    Chapter 14 Case Studies - Jenny

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    Bhawna Joshi
    This 48-year-old woman presented with an unexplained anemia, fever, enlargement of the liver and spleen, lymph nodes in the axillary and inguinal areas, and a collection of fluid in the abdomen (ascites). Her anemia did not respond to iron therapy and she was ultimately diagnosed with lymphoma at autopsy.

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    Chapter 14 Case Studies - Jenny

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    Bhawna Joshi
    152 views2 pages
    This 48-year-old woman presented with an unexplained anemia, fever, enlargement of the liver and spleen, lymph nodes in the axillary and inguinal areas, and a collection of fluid in the abdomen (ascites). Her anemia did not respond to iron therapy and she was ultimately diagnosed with lymphoma at autopsy.

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    Chapter 14 Case Studies_Jenny

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    This 48-year-old woman presented with an unexplained anemia, fever, enlargement of the liver and spleen, lymph nodes in the axillary and inguinal areas, and a collection of fluid in the abdomen (ascites). Her anemia did not respond to iron therapy and she was ultimately diagnosed with lymphoma at autopsy.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    152 views2 pages

    Chapter 14 Case Studies - Jenny

    Uploaded by

    Bhawna Joshi
    This 48-year-old woman presented with an unexplained anemia, fever, enlargement of the liver and spleen, lymph nodes in the axillary and inguinal areas, and a collection of fluid in the abdomen (ascites). Her anemia did not respond to iron therapy and she was ultimately diagnosed with lymphoma at autopsy.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    Chapter 14 Case Studies

    Case Report
    This 48-year-old woman had an unexplained anemia with low-grade fever 4 years before her death. Six
    months before, bronchopneumonia developed, followed by return of severe anemia and continued pyrexia
    (fever). She was febrile (feverish), appeared pale, and had slight hepatomegaly and splenomegaly. Lymph
    nodes were palpated in the axillary and inguinal areas, and ascites developed. The chronic anemia did not
    respond to iron therapy. There was no evidence of blood loss or hemolysis. Diagnosis of lymphoma was
    confirmed by autopsy.

    1. What two organs were enlarged in the patient? ........................................

    A. Liver and lungs


    B. Lungs and spleen
    C. Liver and spleen
    D. Spleen and bone marrow

    2. Where were lymph nodes felt? .............

    A. Groin and armpit


    B. Armpit and chest
    C. Groin and abdomen
    D. Abdomen and armpit

    3. What is ascites? ..........................................................

    A. Blockage of the intestine


    B. Edema in the extremities
    C. Collection of fluid in the chest
    D. Collection of fluid in the abdomen

    4. What was the probable cause of the patient’s anemia? ................................

    A. Chronic blood loss


    B. Destruction of blood
    C. Malignant tumor of lymph nodes
    D. Iron deficiency

    Symptoms of Hodgkin Disease


    The most common initial feature of Hodgkin disease is painless, asymmetrical enlargement of cervical
    lymph nodes. Symptoms may also originate from compression of neighboring structures by growing
    tumor masses. For example, cough, dyspnea, dysphagia, and upper extremity edema may result from a
    mediastinal mass impinging on the tracheobronchial tree, esophagus, or superior vena cava. Edema of
    lower extremities and urinary or gastrointestinal disturbances may result from retroperitoneal lymphatic
    involvement. Splenomegaly is present in about half the cases.

    1. How do most patients present with Hodgkin disease? ................................

    A. Lymph nodes enlarged under the arm


    B. Enlargement of the spleen
    C. Compression of the trachea
    D. Lymphadenopathy in the neck

    2. How could upper extremity edema occur? ................................................

    A. Tumor pressing on the esophagus


    B. Tumor blocking the main vein bringing blood to the heart
    C. Because of dysphagia
    D. Because of dyspnea

    3. What could cause bladder problems? ..........................................

    A. Tumor behind the abdomen


    B. Tumor pressing on the bronchial tubes
    C. Enlargement of the spleen
    D. Upper extremity edema

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