paheli
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at autopsy, a 40-yr old M has enlarged liver [2200g], with yellow cut surface. microscopic surface reveals fatty change. before death, his total serum chol and TG levels were normal, but he had dec serum albumin and inc PT. which of the following activities by the man most likely led to this change?
A injecting heroin
B playing basketball
C drinking beer
D smoking
E ingesting aspirin
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| new_n_lost
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C drinking beer ??
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| paheli
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why the '??' what other option were you thinking of?
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| new_n_lost
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somehow i had glimpse of reading somewhere that injecting heroin also leads to it and then i was messing up the answers ( overthingkling abt it) then went with my gut feeling.
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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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| paheli
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no, heroin causes no morphological hepatic damage.
i was getting messed up with the fact that the patient's serum chol, TG were normal. how many alcoholics are like that? that's why i posted this qn.
but the answer is C, anyway, so good going with your gut.
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Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
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| keepgoing
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good question,tg etc normal,albumin low plus pt inc, paheli,can u post explanation if available?
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| paheli
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abnormalities in LP met can lead to steatosis. alc is a hepatotoxin, produces hepatic steatosis. dec serum albumin levels, inc PT suggests alc-induced liver damage.
exercise, smoking have little direct effect on hepatic fn. aspirin has effect o platelet fn, not hepatocytes.
they haven't mentioned anything abt the serum chol, TG levels in answer.
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Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
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| keepgoing
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thanks paheli,why i asked b/c if albumin low,shud be high cholestreol/TG,no doubt its alcohol induced fatty changes in liver.
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| Ig F
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i agree with C.........but alcohol ingestion leads to hyrpertriglyceridemia................what about tht?
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