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Liver
Cirrhosis
Gallbladder
Spleen
Massive splenomegaly
Stomach
Small intestine
Round ligament
Hemorrhage
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1. Inventory the pathology in the liver. Which is old? Which is new? Make a general differential diagnosis for each condition or disease.
2. What pathology is present in the spleen? Is it old or new? Make a differential diagnosis for it.
3. Identify the round ligament, falciform ligament, gallbladder, stomach, small intestine, large intestine, diaphragm, and heart.
4. Is the segment of colon the ascending, transverse or descending colon?
5. The prior videos showed free blood in the abdomen. This video shows blood within the tissue. How do you interpret this? Did the free blood penetrate into the tissue? Or did the blood inside the tissue leak out into the peritoneal space? Why do you think this?
6. Review the local anatomy for the area of bleeding. What are the anatomic possibilities (arteries, organs, etc.) to consider when thinking about where this bleeding came fromuscle
7. How would your thinking about this case change, if at all, if the patient had had a history of pancreatitis.
8. How does the pathology in the liver inform your understanding of the bleeding.
9. Is there a reason to think about malignancy in this case?
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