robin082006
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A newborn is being investigated for seizures. On examination it is noted to have abnormal facies with high forehead, shallow orbital ridges, low nasal bridge, and epicanthal folds. Physical examination also reveals severe weakness and hypotonia of the limbs, wide-open sutures, and cloudy cornea. Which of the following is the most likely diagnosis?
A. Zellweger's syndrome
B. Neonatal adrenoleukodystrophy
C. Infantile Refsum disease
D. Classic Refsum disease
E. X-linked adrenoleukodystrophy
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| sarika
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high forehead = Zellweger's syndrome ..thats all i know abt this
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| robin082006
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A 4-year-old male child is seen in the office for a general check-up. On examination, the child is well nourished with normal developmental milestones. His vitals are as follows: Temperature: 36.6C(98F); PR: 80/min; BP: 110/70mm Hg. On abdominal palpation there is a lobular right-sided flank mass and the kidneys are palpable bilaterally. What is the most likely cause for the flank mass in this child?
A. Tumor originating from the metanephros
B. Malignancy of neural crest cells
C. Polycystic kidney disease, infantile type
D. Renal cell carcinoma, embryonal variant
E. Acquired renal cystic disease
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| mrdowntoearth
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D?
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| prathapdoctor
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? B, because the most common cause for malignant abdomenal mass in children is neuroblastoma.
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| sarika
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A
just taking a wild guess whats the answer robin?
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| robin082006
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answers are A for both qs
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| anjushree
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neuroblastoma----displaces kidney inferolaterally---->kidneys non palpable
wilm tumor-----kidneys are still palpable
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| drashishmahajan
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its a wilms tumor which can be bilat.... option a
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