NBME 24 Ruptured spleen (NBME Answers)

need help with your account or subscription? click here to email us (or see the contact page)

search for anything ⋅ score predictor (“predict me!”)

Retired NBME 24 Answers

nbme24/Block 1/Question#49 (reveal difficulty score)
A 58-year-old man is brought to the emergency ...
Ruptured spleen 🔍 / 📺 / 🌳 / 📖
tags:

+7 upvote downvote
submitted by ∗sympathetikey(1600)

get full access to all content ⋅ pick a username

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

get full access to all content ⋅ pick a username

sympathetikey Due to extramedullary hematopoesis +31

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! +1

need_answers couldn't also be ruptured spleen because they said intraperitoneal fluid and everything else is retroperitoneal ?? +4

peqmd Spleen is most commonly ruptured in blunt trauma so along with myelofibrosis and being kicked on the left side it's just asking to be ruptured +3

limberry @need_answers the bladder is intraperitoneal, not retro +

limberry bladder is sub*peritoneal, sorry +

+6 upvote downvote
submitted by ∗aneurysmclip(209)

get full access to all content ⋅ pick a username

Kicked in the side 1 hour ago. diagnosed with chronic myelofibros -> extra-medullary hematopoiesis > splenomegaly; therefore easier to rupture spleen. USG showing intraperitoneal bleed. and he has LUQ guardiang and tenderness. All points to spleen

get full access to all content ⋅ pick a username

+0 upvote downvote
submitted by ∗jbrito718(48)

get full access to all content ⋅ pick a username

Fucked up thinking the S in SADPUCKER was for spleen when its actually suprarenal arteries. Such an easy question to miss.

get full access to all content ⋅ pick a username

Must-See Comments from nbme24

seagull on Intestinal mucosa
tissue creep on Ask the roommate not to smoke in the apartment
drdoom on Adenosine
seagull on Increased serum testosterone concentration
atstillisafraud on Lamins
niboonsh on Only cookies are independently associated ...
atstillisafraud on Scar formation
lamhtu on Decreased adherence
drachenx on Damage to the rectovaginal septum
drdoom on Intestinal mucosa
azibird on Coronavirus
lsmarshall on Organic acid metabolism disorder
sympathetikey on Inhalant abuse
tea-cats-biscuits on Eosinophils