(This case study was added to OER Commons as one of a …
(This case study was added to OER Commons as one of a batch of over 700. It has relevant information which may include medical imagery, lab results, and history where relevant. A link to the final diagnosis can be found at the end of the case study for review. The first paragraph of the case study -- typically, but not always the clinical presentation -- is provided below.)
A man in his forties with a history of basal cell carcinoma of the nose and a benign neoplasm of the jaw, status post resection with mandibular reconstruction, presented for routine follow-up. On chest x-ray workup, he was found to have numerous bilateral pulmonary nodules that were highly suspicious for a metastatic disease. A follow-up CT scan of the chest with contrast showed eight small round pulmonary nodules measuring few millimeters in size and a larger left lower lobe pulmonary mass measuring 3.0 x 3.1 cm in size. There was no evidence of hilar or mediastinal lymphadenopathy and no pleural nodularity or effusion on imaging.
(This case study was added to OER Commons as one of a …
(This case study was added to OER Commons as one of a batch of over 700. It has relevant information which may include medical imagery, lab results, and history where relevant. A link to the final diagnosis can be found at the end of the case study for review. The first paragraph of the case study -- typically, but not always the clinical presentation -- is provided below.)
A 20-30 year old female, gravida 2, para 1 who presented for follow up of an established pregnancy. The patient denied any symptoms, and has no history of prior blood transfusion or other significant medical history. She has one healthy child from the same marriage. The husband is healthy. Upon current pregnancy workups, including routine blood type and screen, the mother's blood group was found to be AB Rh positive with a positive antibody screen. Anti-Jka antibodies were identified with antihuman globulin (AHG) phase titers of 1:8. The mother was phenotyped and she is Jka negative. The father of the baby (FOB) was phenotyped and he is homozygous for Jka (Jka+Jkb-). The predicted phenotype of the baby is Jka+Jkb+.
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