Which of the following is the most likely diagnosis?
A. Colon cancer
C. Liver disease
D. Type 2 diabetes mellitus
|Answer A is incorrect. Try again.|
|Answer B is incorrect.. Try again.|
C. Liver disease
Diagnose acanthocytosis on a peripheral blood smear and recognize its association with severe liver disease.
Acanthocytes are erythrocytes with a relatively small number of spicules of varying size that project from the cell surface at irregular intervals; the projections are nonuniform in distribution and size. They appear contracted and dense on stained peripheral blood smears. Patients with liver disease often have acanthocytes as well as other morphologic changes, such as echinocytes and target cells.
|Answer D is incorrect. Try again.|
|Answer E is incorrect. Try again.|
Students: Join ACP for Free
Benefits of Membership for Students: ACP's free Medical Student Membership includes benefits designed especially to meet students' needs.
Join Now: Sign-up today and begin enjoying the benefits of ACP Medical Student Membership.
Find a Residency
Search ACP's Internal Medicine Residency Database for information on all internal medicine residency programs in the U.S. and Canada. (ACP Members only)
Internal Medicine Meeting Early Registration Discount
Register early for Internal Medicine Meeting 2015 in Boston, MA to lock in the lowest possible rate. Learn more or register now!
Are You Using ACP Smart Medicine®?
This online clinical decision support tool is a FREE benefit of ACP membership delivering point-of-care access to evidence-based recommendations. Includes more than 500 modules, images and reference tables. Start now or watch the video tour.