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Week 3

 

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Quiz 3 Context:

A 45-year-old man complains of persistent abdominal pain located in the midline of his abdomen, occasionally radiating to the back. No fever, chills, chest pain, or urinary symptoms are reported. Medical history is most significant for alcohol and tobacco abuse, two episodes of pancreatitis within the past year, and chronic diarrhea. Physical exam reveals a man in no distress. Vital signs are normal. Abdominal tenderness without overt guarding is confirmed.

As part of this patient's work-up, a computerized tomography (CT) scan is performed and is shown below.

unilocular cystic mass in approximation to the pancreas

This scan is most consistent with which of the following?

  1. Abdominal aortic aneurysm
  2. Toxic megacolon
  3. Urinary bladder distension
  4. Hepatocellular carcinoma
  5. Pancreatic pseudocyst

 

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Center for Continuing Education | 9500 Euclid Avenue, KK31, Cleveland, OH 44195