dxtxpx Forum Guru
Topics: 259 Posts: 1,233
| | 02/12/04 - 01:45 PM  
 
   
 
|   #1 |
1) 45 yr male presented with hyperpigmentation of skin, ascites and abnormal liver function tests. His serum Fe 210 microg/dl, and transferrin saturation 90%. The most likely dx is: a) erythropoietic porphyria b) hepatic porphyria c) iron intoxication d) primary hemochromatosis e) secondary hemochromatosis 2) Which of the organs is least likely to be affected by this disease: a) brain b) heart c) liver d) pancreas e) skin
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| dxtxpx Forum Guru
Topics: 259 Posts: 1,233
| | 02/12/04 - 01:48 PM  
 
   
 
|   #2 |
3) Which of the followingclinical manifestation is least likely to occur in this pt? a) CHF b) DM c) hepatocarcinoma d) photosensitivity dermatitis e) testicular atrophy 4) Secondary hemochromatosis is most likely to occur in pts a) with Addison disease b) with high dietary iron content c) with malaria d) with porphyria e) requiring multiple blood transfusions
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| peekay Forum Guru
Topics: 102 Posts: 588
| | 02/12/04 - 03:39 PM  
 
   
 
|   #3 |
1 -prim hemochromatosis 2-brain 3-photosensitivity dermatitis 4-requiring multiple transfusions
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| dxtxpx Forum Guru
Topics: 259 Posts: 1,233
| | 02/12/04 - 03:44 PM  
 
   
 
|   #4 |
rest are correct 4) is addison dis
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| peekay Forum Guru
Topics: 102 Posts: 588
| | 02/12/04 - 03:47 PM  
 
   
 
|   #5 |
u asked most likey cause of sec. hemochromatosis . addison dz mightbe but i i cant think of the reason
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| dxtxpx Forum Guru
Topics: 259 Posts: 1,233
| | 02/12/04 - 03:49 PM  
 
   
 
|   #6 |
I asked 'Secondary hemochromatosis is most likely to occur in pts' not the cause of it
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| dxtxpx Forum Guru
Topics: 259 Posts: 1,233
| | 02/13/04 - 07:46 AM  
 
   
 
|   #7 |
:oops: sorry u were absolutely correct the first time. I was wrong about 4, I looked it up, the answer is E) req multiple transfusion. Sorry for the confusion, my bad :oops: 1) d 2) a 3) d 4) e
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| peekay Forum Guru
Topics: 102 Posts: 588
| | 02/13/04 - 09:45 AM  
 
   
 
|   #8 |
i was still debating what is making u say that addison's dz is the answer there are better choices. now all the answers r clear. good luck to us all.
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| mjl1717 Forum Hero

Topics: 958 Posts: 5,466
| | 02/13/04 - 02:50 PM  
 
   
 
|   #9 |
Good pick-up peekay. :idea:
___________________ Smell the coffee! "Is That an Osler move??"
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