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Points : 46869
Join date : 2013-12-26

PostSubject: Question-26   Thu Feb 13, 2014 7:40 am

A woman with chronic back pain and constipation. Blood test show high ESR, high calcium and low normal hemoglobin. What would be the next step in her management?

1.serum electropheresis,
2. Ultrasound abdomen,
3.Liver function tests
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Points : 42550
Join date : 2014-06-07
Age : 51
Location : WA

PostSubject: Re: Question-26   Tue Jun 17, 2014 2:58 pm


The patient is presented with hypercalcmmia+ constipation+ high ESR+ chronic anameia====> the first related diagnosis is methastatic problem from different organs so the best and usuall involved organs should be worked up.Thus,it seems to me abdominal X ray would be more appropriat answer.
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Masoud Mostafaee

Points : 39457
Join date : 2014-10-02

PostSubject: Re: Question-26   Fri Oct 03, 2014 3:13 am

X -ray
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Points : 38752
Join date : 2014-11-03

PostSubject: Re: Question-26   Fri Nov 21, 2014 4:19 am

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