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Author7 Posts
  #1

45 yo man, comes to your office complaining of fever, weakness, lightheadedness and dark urine.On past history he claims his family is Jewish, but doesn't remember similar cases happening. 2 weeks ago he had a skin infection. Took antibiotic but can't remember name.

On phisical exam you find tachycardia, pale conjuctivas, skin lesion is almost healed. rest is normal. Laboratory shows: normocytic anemia with reticulocytosis,and indirect bilirubinemia. A coombs test is (+)

What is the most likely cause of his anemia?

a. Sickle cell dz

b. G6PD def

c. Anemia of Chronic dz

d. Wadensteoms macroglobulinemia

e. Drug induced


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Confidence does not come from simply reading the content, but from doing things with it. Confidence is born in the flash of insight, in the ability to face something new and figure it out.
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  #2

G6PD deficeincy

___________________
focussed

  #3

try again my frriend

___________________
Confidence does not come from simply reading the content, but from doing things with it. Confidence is born in the flash of insight, in the ability to face something new and figure it out.
Kaplan usmle edge newsletter

  #4

G6PD wont give you Coombs +...

So I'd say E.- drug induced.


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  #5

Oh my!!!!

Isther you are on fire!!!!!


___________________
Confidence does not come from simply reading the content, but from doing things with it. Confidence is born in the flash of insight, in the ability to face something new and figure it out.
Kaplan usmle edge newsletter

  #6

LOL... =D


___________________
Useful information for USMLE and the residency matching process at http://www.usmlematch.com

  #7

D DRUGS LIKE METHYLDOPA CAN CAUSE +VE COOMBS







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