new_n_lost Politically InCorrect

Topics: 653 Posts: 6,086
| | 04/14/07 - 10:42 PM  
 
   
 
|   #1 |
This Shud Ring A Bell To US A 16 year old girl with obesity was referred with abdominal swelling and mild ankle edema. On examination the blood pressure was 140/90 mmHg. Investigations revealed: Hemoglobin 10.5g/dL (11.5-16.5), Serum biochemistry normal, Serum albumin 34 g/L (37-49), Urine dipstick proteinuria +. Which investigation should be performed next? 1) 24 hour urinary protein estimation. 2) Abdominal ultrasound. 3) Plasma protein electrophoresis. 4) Urinary albumin: creatinine ratio. 5) Urinary B-Human Chorionic Gonadotrophin test (B-HCG)
___________________ FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| doc179 Forum Guru
Topics: 67 Posts: 1,217
| | 04/15/07 - 04:55 AM  
 
   
 
|   #2 |
5 ?
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| treblechar Forum Senior

Topics: 6 Posts: 93
| | 04/15/07 - 07:25 AM  
 
   
 
|   #3 |
5) Urinary B-Human Chorionic Gonadotrophin test (B-HCG)
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| new_n_lost Politically InCorrect

Topics: 653 Posts: 6,086
| | 04/15/07 - 08:48 PM  
 
   
 
|   #4 |
 
___________________ FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| new_n_lost Politically InCorrect

Topics: 653 Posts: 6,086
| | 04/15/07 - 08:48 PM  
 
   
 
|   #5 |
This young girl has been ‘gaining weight’, has abdominal swelling and ankle edema. She is hypertensive and has a mild anemia with proteinuria. These signs should ‘ring a bell’ suggesting a concealed pregnancy with pre-eclampsia. The most relevant investigation would be a pregnancy test – urinary B-HCG.
___________________ FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| verapamil Forum Newbie

Topics: 2 Posts: 43
| | 04/27/07 - 12:53 PM  
 
   
 
|   #6 |
just wanna ask.. i answered 2 because i considered APKD. hit 2 birds with 1 stone?
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| verapamil Forum Newbie

Topics: 2 Posts: 43
| | 04/27/07 - 12:58 PM  
 
   
 
|   #7 |
i meant adult dominant polycystic kidney dse
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| keepgoing Forum Guru
Topics: 63 Posts: 1,682
| | 04/27/07 - 01:15 PM  
 
   
 
|   #8 |
i think preg test is the best b/c we are asked whats next and ac to dr goljan think cheap about boards 1st so preg test and could be preeclampsia or eclampsia(juz considering preliminary diagnosis,but could anything tho) ...couldnt be... i might eb wrong too in reasoning but ladder rule....
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| keepgoing Forum Guru
Topics: 63 Posts: 1,682
| | 04/27/07 - 01:30 PM  
 
   
 
|   #9 |
oops nnl dint read ur answer posted up there...im glad i m rt...!
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