Challenging Case

Part 1:
propose a case summary including the patient’s age, gender, occupation, chief complaint, history of present illness, review of systems, physical exam, and tongue and pulse. If you also have abdominal palpation and/or channel palpation results, please include them as well.

Part 2:
Some examples of what I am looking for in this answer are applicable laboratory tests (e.g., Complete Blood Count (CBC), Comprehensive Metabolic Panel (CMP), Renal Function Panel (RFP) or imaging tests (e.g., X-Ray, Ultrasound, Computed Tomography – CT Scan, Positron Emission Tomography – PET Scan, Magnetic Resonance Imaging – MRI).

If you are not the most familiar with the above. Labtestsonline is a website by the American Academy of Clinical Chemistry. It will take you through laboratory medicine. For imaging test information, radiology info is sponsored by the American College of Radiology and the Radiological Society of North America.

Both are run by organizations in their respective fields. Again, please review both sites and ask whether or not appropriate laboratory and imaging tests conducted and your rationale as to why you ask about these specific tests of your fellow classmates.

Part 3:
Please respond thoughtfully, using complete and grammatically correct sentences for your final analysis and diagnosis of your case. Please include laboratory tests and imaging tests done on your patient.

If your patient did not have any laboratory or imaging tests completed, based on what you have learned, what laboratory or imaging tests confirm the final diagnosis? Be sure to provide your rationale for your choices in your answer.

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