mahendra
Forum Guru
Topics: 173
Posts: 419
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A febrile 12-year-old child presents with severe right lower quadrant
pain that is interpreted by the attending physician as acute appendicitis.
The patient has also been complaining of joint pain. At laparotomy, the
surgeon notes that the appendix is normal; however, the mesenteric lymph
nodes are markedly enlarged and contain focal areas of microabscess
formation on cut section. This patient is most likely
A. an asthmatic
B. deficient in C1 esterase inhibitor activity
C. HLA-B27 positive
D. leukopenic
E. serologically positive for toxoplasmosis
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| asmi
Forum Hero
Topics: 1043
Posts: 4,609
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B :?:
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| drmka
Forum Junior
Topics: 1
Posts: 59
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it seems like reactive artritis caused by Y.enterocolitica,apendicitis like syndrome...Sero negatives spondiloartopathies involves reactive artritis,and they have HLA-B27 in common...
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| asmi
Forum Hero
Topics: 1043
Posts: 4,609
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WOW ,YOU SOUND VERY INTELLGENT........ :cry: I DIDN'T EVEN THOUGHT ABOUT IT
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| Idiopathic
Forum Guru
Topics: 19
Posts: 641
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Yeah, this is true. Goljan had a very similar test q on our final last semester
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