ur Dx dear loay...is really scientific..but try 2 think more..i will give u aclue .. they confirm their dx in hospital only with laprotomy..
Samar- 10-10-2007
Well... if they needed Laparotomy to finally diagnose her condition , I guess we need to do that too !!! but if it wasn't mesenteric infarction, i guess It's something related to Warfarine abuse ..!! not sure really!!
m_thebrave- 10-18-2007
helo again..
dr samar is so near from the Dx
it is warffarin over dose... which cause intrabdominal bleeding ... then this bleeding develop 2 infection (peritonitis) causing the picture of acute abdomin
by laprotomy they found clots of blood in the abdominal cavity..
thanx 4 ur answer...
Dr.Leo1984- 10-18-2007
thanx for the answer.. but she didn't have history of malaena? only intraperitoneal bleeding!!!
m_thebrave- 10-21-2007
dear loay.. i really dont know y u think of melaena..its not GIT disorder..
hope u explain me ur idea
this is very nice case i saw it in the hospital
16 years old boy ..had history of recurrent attacks of jaundice.. his chief complaint was joint pain and abnormal movement
when i examine him i found..hepatomegally ...jaundice.. hyper tonia with coarse tremor..
thanks MAHMOOD again, it is a classical complication case and by the way it come's alot in the final. take care Dr.
ali
Kademad- 11-17-2007
One who'd read those posts would feel he's in the middle of a private conversation! Why don't you post the cases so that everyone can read them and understand what you're talking about?
Take Care
Samer Q N- 11-18-2007
A 44 year old patient who is a known case of parathyroid adenoma presented with polyuria and polydypsia. Examination is normal, serum calcium level is elevated.
How can you explain his presentation?
p.s.: we were asked this question during the oral exam of the Medicine course [heads up 6th graders]
smile- 11-18-2007
well as an answer parathyroid adenoma will secrete parathyroid hormone which will cause hyercalcemia and one of the complains of hypercalcemia is polyurea and polydepsia i hope this is the right answer heba
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