virgola82
Forum Guru
Topics: 85
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A 74 yo man presents with fatigue, weight loss and dizziness when standing. On further questioning he describes symptoms of a sensorimotor peripheral neuropathy. The physical exammreveals 2+ edema of lower limbs. Serum creatinine is 3 mg/dl. Urinalysis showed proteinuria. What is the next best test?
A. CT of abdomen
B. Bone marrow examination
C. Fat aspirate with congo red stain
D. Peripheral nerve biopsy
E. Small bowel radiography
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| prathapdoctor
Forum Elite
Topics: 12
Posts: 406
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tricky question, i am suspecting amyloidosis in this old fellow which can cause nephrotic syndrome and peripheral neuropathy.
so i will go with C.
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| sprint123
Forum Guru
Topics: 129
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Yes....Amyloid induced Nephrotic syndrome which could explaint he constitututional symptoms also!
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| sailing boat
Forum Elite
Topics: 54
Posts: 172
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i am also thinking amyloidosis. so i will go for fat aspirate for fat aspirate with congo red stain
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| virgola82
Forum Guru
Topics: 85
Posts: 348
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You all are right!
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| msrdr007
Forum Newbie
Topics: 0
Posts: 6
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thanx nice question
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