huyniid Forum Elite
Topics: 9 Posts: 199
| | 03/04/07 - 11:10 PM  
 
   
 
|   #1 |
The concerned parents of a 14 yo girl bring their daughter to the clinic for evaluation of a possible eating disorder. They state that over the past 1-2 months the girl seemed to drink nothing but diet soda and water and lost 15lbs. They do admit that she "eats like a horse" and wonder if she purges her meals. The girl, once her parents are out of the room, denies any problems with her self image and wishes she could keep her weight up, as she feels her weight loss is limiting her ability as an athlete. She reports feeling weak and fatigue over the past month and asks if she might have a unrinary tract infection, as she always seems to be urinating. She has never been ill and knows of no illnesses that run in her family. Exam reveals a thing, well appearing teenager. Which of the following is a likely finding upon further examination and lab testing? A. Antiglutamic acid decarboxylase Abs B. Elevated fasting cholesterol and TG levels C. Parotid gland hypertrophy and loss of tooth enamel D. Significant proteinuria on a urine dipstick E. Retinal vessel proliferation
|
| mjl1717 Forum Hero

Topics: 955 Posts: 5,450
| | 03/04/07 - 11:38 PM  
 
   
 
|   #2 |
by process of elimination answer-a (antibodies) answer -e is associated with diabetes..
___________________ Smell the coffee! "Is That an Osler move??"
|
| robin082006 Forum Hero

Topics: 471 Posts: 5,125
| | 03/04/07 - 11:40 PM  
 
   
 
|   #3 |
she has classic symptoms of type 1 DM A-----> Antiglutamic acid decarboxylase Abs
___________________ The Key to Succeed is Patience.
|
| DrPak Forum Elite

Topics: 49 Posts: 348
| | 03/05/07 - 03:58 AM  
 
   
 
|   #4 |
It's primary polydipsia. Robin, Type I DM presents with DKA. By process of elimination, it seems the answer is A.
|
| DrPak Forum Elite

Topics: 49 Posts: 348
| | 03/05/07 - 04:05 AM  
 
   
 
|   #5 |
It's primary polydipsia. Robin, Type I DM presents with DKA. By process of elimination, it seems the answer is A.
|
| robin082006 Forum Hero

Topics: 471 Posts: 5,125
| | 03/05/07 - 09:20 AM  
 
   
 
|   #6 |
"4 much" symptoms: eat too much, drink too much, urinate too much, and lose weight----->DM type 1.
___________________ The Key to Succeed is Patience.
|
| chemamr Moderator and PGY1

Topics: 703 Posts: 4,441
| | 03/05/07 - 10:09 AM  
 
   
 
|   #7 |
agree with Robin
___________________ Any time something is written against me, I not only share the sentiment but feel I could do the job far better myself.
|
| DrPak Forum Elite

Topics: 49 Posts: 348
| | 03/05/07 - 11:27 AM  
 
   
 
|   #8 |
I looked it up, and your right. Thanks. I thought type I always presented as DKA. What is anitglutamic acid decarboxylase Abs
|
| CocaCola Forum Guru

Topics: 35 Posts: 908
| | 03/05/07 - 12:00 PM  
 
   
 
|   #9 |
Type 1 DM is thought to have an autoimmune etiology... specifically anti-glutamic acid decarboxylase antibody (sometimes just abbreviated anti-GAD in some books)
___________________ There is one thing we can do, and the happiest people are those who can do it to the limit of their ability. We can be completely present. We can be all here. We can give all our attention to the opportunity before us!!!
|
| webjeee Forum Guru
Topics: 99 Posts: 349
| | 03/16/07 - 08:57 AM  
 
   
 
|   #10 |
Kaplan Qbank, a
|
|
| |
| | | | | | | | | | |