dr_singh246
internal medicine pgy2
Topics: 235
Posts: 561
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A 48-year-old male presents to the internal medicine clinic with his wife. She reports that he has recently lost weight and that he is confused and disoriented. She has mentions that he has been having problems with loose stools, up to 10 times per day. Further questioning reveals that the patient has drunk 8–10 beers per day for the past 20-plus years. A physical exam reveals an erythematous, scaling rash of the dorsal aspect of his hands as well as his face and neck. The patient also has glossitis and angular stomatitis. A neurological exam reveals decreased pain and touch sensation in all four extremities bilaterally and symmetrically. The heart and lung exams are within normal limits. In which vitamin is this patient most likely deficient?
A. Vitamin A
B. Vitamin B2
C. Vitamin B3
D. Vitamin C
E. Vitamin K
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to love when it can be lost, to go on when progress seem futile and to believe in every fiber of your body. to live , have hope and faith and to never give in.... dr_singh246@yahoo.com
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| Alina T
Forum Elite
Topics: 17
Posts: 388
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Ans C. it's pellagra
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| mjl1717
Forum Hero
Topics: 958
Posts: 5,463
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B3 if thats niacin-(diarrhea, dementia,dermatitis)
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| knasim
Forum Junior
Topics: 2
Posts: 51
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But what about history of alcoholism here? I know that thiamine is deficient in alcoholics but niacin.....? Is this a distracter?
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