cirus
Forum Guru
Topics: 108
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1. Hypovolemia, Hyponatremia, Hyperkalemia, Enlarged clitori (Ambigous genetalia)---> 17 alpha hydro-progest
2. B --->(precocious puberty in male)
3. A--->PCOD ( Hirsutism, enlarged clitoris here is d t increased stimulation of ovary so exess testestirone to be changed to estrogen by aromatase cells, irregular menses)clue is DHEA < 7, if >7, then it would have been adrenal tumor
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| DrVirgo
Forum Hero
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cirus,
First 2 right.
Try the third one again. It's tricky.
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| cirus
Forum Guru
Topics: 108
Posts: 740
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ull have to blame the small picture, i didn see the level 0f 17 alpha hydro-progest, so now its CAH, the partial type....
Thnx DrVirgo, oh by the way, when r u taking the exam
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| DrVirgo
Forum Hero
Topics: 1058
Posts: 3,381
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Yes, CAH is right... Sorry about the picture quality.
Can a CAH female have menses? I thougt not!
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| elitoki
Forum Guru
Topics: 54
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A, B, G
so, it is same CAH in different severity.
the first one is severe, manifestation is more dramatically.
second is in male, and third is mild form in female.
I got it~ 
Thanks.
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| aaroho
Forum Junior
Topics: 8
Posts: 75
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1-c
2-a
3-g
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| aaroho
Forum Junior
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1-c coz pt has hyperkalemia .this pt has 11 oh deficiency.
in21 oh deficiecy pt present with hypokalemia.
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| aaroho
Forum Junior
Topics: 8
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i think i am wrong the correct ans.is a coz there will be hyperkalemia in 21oh deficiency.
.
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