Occasional

Blood & Lymphoreticular System


Step 1: View Clinicals

{"ops":[{"insert":"A 35 year old Caucasian woman presents with severe, intermittent abdominal pain for two days, in association with nausea and vomiting. She also complains of progressive weakness of both lower limbs. Her husband claims that she has \u0022not been herself\u0022 for the last few days.\n\nHer medical, surgical, and family histories are unremarkable. She only drinks socially and does not smoke. She had started the Atkins diet a month ago.\n\nSerial ECGs are completely normal, as is a random plasma glucose assay, serum electrolyte levels, renal and liver profiles, and a noncontrast CT study of the brain.\n\nA sample of urine is submitted for investigation. It is initially clear, but then turns into a dark red color upon standing.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-117_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. Urine Dipstick Analysis
2. CT Abdomen
3. MRI Brain
4. Urine PBG Levels

Want to continue playing?

Open your Clinical Odyssey account today.


Enjoy unlimited access to 600+ simulations.
Safely improve your skills, anytime and anywhere.
Get answers to your follow-up questions from practicing physicians.