to snoo-finity ... and beyond!
Welcome to bobson150's page.
Contributor score: 2
Yes, it was. I think in both vignettes, the picture was basically irrelevant. Or another possible clue -- but definitely not needed to answer the Q.
My school uses old "retired" NBME questions for exams and I've also seen this exact same picture multiple times...w/ different scenarios I think. I tried remembering what the questions were but I guess it's mostly irrelevant.
I also put wilm's tumor bc it felt really familiar wtf
If you look at the picture you can see the epithelioid and giant cells. I only picked granuloma because I remember seeing a similar picture in Uworld.
Superior rectal comes from the inferior mesenteric vein which comes from the splenic vein --> portal veins
Thus, this dude had cirrhosis so it would "back-up" into the superior rectal vein.
FA 2018: p360
Superior rectal not superior mesenteric. Took me a minute
ugh am i ever gonna get these right EVER