Case Study#2

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Breakpoint #3 - answers on page 8

1) Is the anemia secondary to a primary marrow disorder, red cell destruction, or blood loss?

2) What is the most likely cause of the coagulopathy? What laboratory tests (if any) will establish the diagnosis? Is severe liver disease or DIC likely?

3) How would you image the right leg? What specific entities in the leg must be ruled out?

4) Is this a likely presentation for an occult neoplastic disease? What malignant disorder, if any, is most likely to present in this manner?