tompat
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63 yr old female witha history of hepatitis B develops hemorrhagic ascites .she has increased RBCs count. hepatomegaly and weight loss.hypoalbunemia is present with incresed erythropoitin levels.what cud be the diagnosis
a.renal carcinoma
b.polycythemia rubra vera
c.oc pills (for replacement therapy)caused bud chiary syndrome.
d.hepatocellular ca
(its a poor attempt to formulate q,excuse me for any mistakes)
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| doc179
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D ?
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| new_n_lost
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a.renal carcinoma
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| drduck
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A
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| tompat
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ans is D
every thing fits in.hepatomegaly and raised erythropoitin, bloody ascites.
no bud chiary or poly cythemia rubra cause in both there is remote probability of bloody ascites and in later there is decreased erythropoitin.
renal carcinoma will be metastasising to lung first, there is no doubt. it will also present as flank mass with hematuria.
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| afrocaribb
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So how do u explain the rise in Erythropoietin , with hepatocellular ca?
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| me007
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ectopic EPO production --> absolute polycythemia
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| tompat
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yes as me007 sums up , hepatocellular ca produce erythropoitin
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| drduck
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nice one to do........
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| ssrpk
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good one
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| arlete
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Very interesting...
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