08-03-2006, 06:03 PM
You're working in the student health clinic when a graduate student comes in complaining of his belly being distended and recent vomiting up of blood. This patient was just in the clinic last week, when he was diagnosed with mononucleosis. He did not have a blood test then, but he did have splenomegaly at the time of presentation. On physical exam, you notice that he has severe splenomegaly and ascites but does not have a long drinking history. You also discover that he is doing his graduate research on freshwater snails. What is your astute diagnosis?
A Babesiosis
B Late-stage Lyme disease
C Malaria
D Schistosomiasis
E Trichinosis
A Babesiosis
B Late-stage Lyme disease
C Malaria
D Schistosomiasis
E Trichinosis