skyhigh Forum Guru
Topics: 105 Posts: 561
| | 01/19/06 - 04:32 PM  
 
   
 
|   #1 |
A 35 yr old pharmacist reports to your office with recurrent episodes of forgetfullness and tiredness. A serum glucose is found to be 20mg/dl(70-110mg/dl). Additional studies on the sample reveal and high serum insulin and a low C-peptide level. Based on the findings, you suspect patient has a. a benign tumor involving the a islet cells b. a benigh tumor involving the b islet cells c. surreptiously injected human insulin d. an ectopic secretion of insulin like factor e. an early phase of type 1 diabetes mellitus
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| drk1980 Forum Guru

Topics: 147 Posts: 1,038
| | 01/19/06 - 04:33 PM  
 
   
 
|   #2 |
thanku C-peptide...u see a discrepancy between the levels of tht and insulin...u know "surreptiously" injected insulin!
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| Doc2378 Forum Guru

Topics: 46 Posts: 688
| | 01/19/06 - 04:36 PM  
 
   
 
|   #3 |
... hey but why does this pharm guy have near normal glucose (70-110)...even though he's shooting himself??
___________________ Courage does not always ROAR. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow" - Mary Anne Radmacher
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| drk1980 Forum Guru

Topics: 147 Posts: 1,038
| | 01/19/06 - 04:40 PM  
 
   
 
|   #4 |
oops...he does not!
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| sturge_weber Forum Guru
Topics: 77 Posts: 1,042
| | 01/19/06 - 04:41 PM  
 
   
 
|   #5 |
yes its c...
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| Doc2378 Forum Guru

Topics: 46 Posts: 688
| | 01/19/06 - 04:44 PM  
 
   
 
|   #6 |
eeks!!!...that was the normal reference range in parenthesis (guess, I better stay away for the rest of the day)....ofcourse its C and this pharm dude should be sacked from the job! 
___________________ Courage does not always ROAR. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow" - Mary Anne Radmacher
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