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A 62-year-old woman was admitted to the hospital because of nausea, vomiting, and jaundice two weeks after an aortic valvuloplasty.
The patient had had a heart murmur "since birth," for which she was followed annually, and had remained free of symptoms.
Eleven months before entry, evaluation revealed splenomegaly. Laboratory tests were performed (Table 1). Three months before admission laboratory tests were performed (Table 1 and Table 2). A biopsy specimen of the bone marrow was normal, with adequate megakaryocytes. A computed tomographic scan of the abdomen and pelvis, obtained after the intravenous injection of contrast material,
Differential Diagnosis
Clinical Diagnoses
Dr. David B. Smith's Diagnoses
Pathological Discussion
Anatomical Diagnoses
References
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