robin082006
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Topics: 471
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A 55-year-old woman comes to her primary care physician with complaints of pain, itching and red streaks in her left arm. She feels that her arm is "simply not the same". She had a similar episode in her chest almost 2 weeks ago, but it went away on its own. She has no other complaints, except for heartburn and some upper abdominal pain that has been there for a few months. She takes antacids for it, but has never got over it completely. She thinks that she has lost some weight but she feels happy about it, as she always wanted to lose weight. Her vitals are stable and there is mild epigastric tenderness. She has tender, erythematous, cord like veins palpable over left arm and some over the chest. She smokes 1-2pack/day for 15years and drinks alcohol, only on parties. What is the next best step in this patient?
A. Upper GI endoscopy with barium swallow
B. Colonoscopy
C. Antibiotics and reassurance
D. CT scan abdomen
E. Spiral CT chest
F. Chest –X ray
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| saadtazjam
Forum Elite
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F?
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| Aashi
Forum Moderator
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D-->do a CT abdomen
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| Guptashutosh
Forum Elite
Topics: 35
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CT abdomen , look 4 neuroendocrine tumor
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| The-surgeon
Forum Newbie
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i think F
cause am thinking this is a thrombophlebitis and it can preceed lymphoma ?
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| star1
Forum Guru
Topics: 93
Posts: 827
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Aashi is right
D. CT scan abdomen
This seems to be the case of Pancreatic Cancer, the skin sign in this patient are called MIGRATORY THROMBOPHLEBITIS .....
History suggest the risk factor of Pancreatic cancer..
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