A 54 years old Puerto Rican male presented to Emergency Room short of breath, feverish and coughing.  Examinations revealed right-sided cardiac enlargement and reticular-nodular markings in the lung.  He was admitted but died within the week.  Autopsy showed an unusual liver.  Multiple pseudo tubercles were present in the liver (photograph) and lungs. Right-sided cardiac enlargement was confirmed. a.    What pathogenic sign does the liver show? b.    What caused this patient’s pulmonary and cardiac problems? c.    What simple test might have been performed that would have suggested the correct diagnosis? d.  What therapy might have saved the patient’s life had it been prescribed earlier?

Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
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A 54 years old Puerto Rican male presented to Emergency Room short of breath, feverish and coughing.  Examinations revealed right-sided cardiac enlargement and reticular-nodular markings in the lung.  He was admitted but died within the week.  Autopsy showed an unusual liver.  Multiple pseudo tubercles were present in the liver (photograph) and lungs. Right-sided cardiac enlargement was confirmed.

a.    What pathogenic sign does the liver show?

b.    What caused this patient’s pulmonary and cardiac problems?

c.    What simple test might have been performed that would have suggested the correct diagnosis?

d.  What therapy might have saved the patient’s life had it been prescribed earlier?

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John Walker
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