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sufyan
Posted: November 26, 2007 08:00 pm
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HI SHABAB

A 32-year-old woman with type 1 diabetes mellitus has had progressive renal failure over the past 2 years. She has not yet started dialysis. Examination shows no abnormalities. Her hemoglobin concentration is 9 g/dL, hematocrit is 28%, and mean corpuscular volume is 94 µm3. A blood smear shows normochromic, normocytic cells. Which of the following is the most likely cause?

a.Acute blood loss
b.Chronic lymphocytic leukemia
c.Erythrocyte enzyme deficiency
d.Erythropoietin deficiency
e.Immunohemolysis
f.Microangiopathic hemolysis
g.Polycythemia vera
h.Sickle cell disease
i.Sideroblastic anemia
j. b-Thalassemia trait
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ali al-kafaji
Posted: November 26, 2007 08:27 pm
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d mo?
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smile
Posted: November 26, 2007 09:17 pm
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i think the answer is d
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bloodstone
Posted: November 26, 2007 10:18 pm
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Erythropoitein deficiency..as it is synthesized by kidney so renal failure will affect it..mo?
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The Knight
  Posted: November 26, 2007 11:32 pm
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Isn't erythropoietin produced by kidneys ??? so how its def. leads to RF.???? bcmf/thinking.gif
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ali al-kafaji
Posted: November 27, 2007 01:24 pm
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mo al renal failure samer but the anemia.

ali
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The Knight
  Posted: November 27, 2007 03:29 pm
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oops...I thought you were meaning RF,sorry,I guess its (d).

Thx Allawy for redirecting me bro.
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sufyan
Posted: November 27, 2007 07:20 pm
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biggrin.gif bcmf/thmbup.gif yes guys u r all right
and sorry for delaying my answer
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mobic777
Posted: December 05, 2007 08:19 pm
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hii
1- a 16 YEAR old girl comes to the physician because of alarge growth
she says that she began to notice it about 3 weeks after she got her ears pierced, and it has been growing ever since. physical exam shows a3cm , firm tumor hanging from her left ear lobe , exessive prouduction of whice of the following types of collagen is associated with this condition ?




A-COLLAGEN TYPE ONE
B- COLLAGEN TYPE 2
C-COLLAGEN TYPE 3
D- COLLAGEN TYPE4
E-COLLAGEN TYPE 5

bcmf/joker.gif bcmf/joker.gif bcmf/joker.gif

2-A wealthy 87- y women comes to the physician because of a 3 week history of ableeding gums (they bleed whenever she eats somthing hard or when she brushes her teeth ), her cook passed 6 monthes ago and she is eatingtea and toast ever since,her physical exam shows erythmatous ,inflamed gumes , what is the dignosis


1- ehler-danlos syndrome

2-marfan syndrom

3-osteogenesis imperfecta

4-rickets

5-scurvy



GOOD LUCK smile.gif
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The Knight
  Posted: December 05, 2007 11:02 pm
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Scuvry I guess .... mo ???
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