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elitoki
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09/05/07 - 01:55 PM

40 y/o Asian American male present to clinic with complain unusully dark urine. he has recentrly moved to this city and has not been under the care of a physician for some time. Physical examination revels scleral interus and jaundiced skin. Aurine dipstick is + for bilirubin.
Possible cause??

a) hemolytic anemia
b) thalassemia
c) rotor syndrome
d) gilbert syndrome
e) PNH

Justice
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09/05/07 - 02:13 PM

c) rotor syndrome

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dermatology
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09/05/07 - 02:49 PM

wat is rotor syndrome??????

dr in trouble
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09/05/07 - 02:51 PM

D--Gilbert synd.

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neuroblastoma
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09/05/07 - 03:00 PM

C rotor syndrome will show conugated bilirubin

Justice
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09/05/07 - 03:36 PM

dr in trouble wrote:
D--Gilbert synd.

In Gilbert's the hyperbillirubinemia is unconjugated and thus will not give icterus and (+) bil-n in urine... Same as in hemolysis...

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Drtweetie
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09/05/07 - 06:35 PM

Agree w/ C: rotor's syndrome (positive conjugated bilirubin in urine)

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kpmle2
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09/05/07 - 07:45 PM

c) rotor syndrome --conjugated bilirubin

gilbert syndrome --unconjugated bili.

doc_clotaire
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09/05/07 - 09:22 PM

C ) Rotor

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elitoki
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09/07/07 - 07:19 AM

#10

Yes it is Rotor syndrome!

easy way to remember is "storage of conjugate bilirubin is "ROTO"r(in spanish mean broken). So you can find bilirubin on urine dipstick and is benign disease that doesn't need any treatment.

starcraftbw
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Topics: 13
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09/11/07 - 04:18 PM

#11

wow.......good question

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