IMpact

Which of the following is the most likely diagnosis?
A. Colon cancer
B. Hypertriglyceridemia
C. Liver disease
D. Type 2 diabetes mellitus
| Answer A is incorrect. Try again. |
| Answer B is incorrect.. Try again. |
|
Correct! Correct Answer: C. Liver disease Educational Objective: Diagnose acanthocytosis on a peripheral blood smear and recognize its association with severe liver disease. Critique: 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. |
Match Day 2012: An Exciting Experience
Go behind the scenes at Match Day 2012 at The Perelman School of Medicine at the University of Pennsylvania and hear Dr. Katrina Armstrong, Chief of the Internal Medicine Division at Penn Medicine describe being part of the Match Day experience.
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)
Earn MOC Points for Medical Knowledge
ACP offers its members many ways to earn ABIM MOC points for Medical Knowledge and to make the process easier. See our MOC Timeline Page for details.
Ceramic Bistro-Style ACP Mug
Enjoy your morning brew and show your ACP spirit with our 15-ounce dishwasher- and microwave-safe mug. Enjoy free shipping within the continental U.S. |

