ssrpk
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A 44-year-old man has had no major medical problems throughout his life, except for arthritis pain involving all extremities for the past couple of years. He has had worsening orthopnea and pedal edema in the past six months. He is afebrile. There is no chest pain. A chest radiograph shows cardiomegaly with both enlarged left and right heart borders, along with pulmonary edema. Laboratory test findings include sodium 139 mmol/L, potassium 4.3 mmol/L, chloride 99 mmol/L, CO2 25 mmol/L, urea nitrogen 18 mg/dL, creatinine 1.3 mg/dL, and glucose 167 mg/dL. Which of the following additional laboratory test findings is he most likely to have:
A Spherocytes on his peripheral blood smear
B Hemoglobin of 10.7 g/dL with MCV of 72 fL
C Erythrocyte sedimentation rate of 79 mm/Hr
D Anti-centromere antibody titer of 1:320
E Serum ferritin of 8700 ng/mL
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| Alina T
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E Serum ferritin of 8700 ng/mL
He has hemochromatosis (bronze diabetes)....arthritis, dilated cardiomyopathy, diabetes with minimal nefropathy.....so you'd expect high levels of ferritin also (normal ferritin: 15-300 ng/ml)
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| ssrpk
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correct - guud answer
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