Slacker
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The X-ray of a patient's peritoneal cavity is shown. Which one of the following does the patient MOST probably has?
A. Bile Salt Deficiency
B. Fatty Liver
C. Macrocytic anemia
D. Hemorrhagic diaphysis
E. Movement disorder
Plz explain
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| sridevibandaru24
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E?
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| Slacker
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plz exlpain ur answer
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| Slacker
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Does anyone know the Diagnosis?
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| mitty
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A bile salt deficiency.
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| Slacker
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The Diagnosis is Dystrophic calcification of the pancreas
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| tolito
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so what is the answer? i agree it is distrophic calcification of the pancreas.
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| Slacker
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The answer is D. Hemorrhagic diaphysis. The person has SteaSince the pancreas is not working, then fat is in reabsorbed in the instestine. Fat soluble vitamens are also not reabsorbed----->vit. K deficiency will occur-->coagulation factors are not activated--> hemorrhagic diaphysis.
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| tolito
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| robin082006
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Slacker your explantion is good, but I read a similar question somewhere and I prefer choice C.
This patient may have chronic pancreatitis---> decrease in pancreatic enzyme, especially the enzyme disrupt the binding between B12 and intrinsic factor---> decrease in B12 absortion--> macrocytic anemia.
Vit K deficiency may be present but it rarely cause hemorrhagic diaphysis. may be you confused with hemorrhagic DIATHESIS (MORE COMMON).
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| study_ing
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i think vitamin b 12 deficiency would manifest later than a vit k def coz there r more stores
more opinios please!!
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| Slacker
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Ur right, that Vit b12 deficiency will develop in like 6-9 years, but from the given choices i still think vit. K deficiency still more apropiate because that will develp way more rapidly
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| tolito
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true robin but since this patient will manifest both diseases ie b12 and vit k defficiency eventually, the first one would be vit k and bleeding diathesis. so i will still go with D.
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| robin082006
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but the answer choice is Hemorrhagic DIAPHYSIS (EXTREMELY RARE), not diathesis
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| tolito
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robin, does the condition hemorrhagic diaphysis exist???/ i never heard of it 
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| Slacker
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well robin ur right, i looked at the question and its diathesis. sorry about that. thanks guys
Edited by Slacker on 06/06/06 - 09:19 PM
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