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+--- Thread: Archer review Medicine Question 140 - misshyd (/showthread.php?tid=592698)
Archer review Medicine Question 140 - misshyd - ArchivalUser - 06-16-2011
184) A 10 year old boy is evaluated in the emergency room after he tripped over and fell during a basketball game. There is no history of loss of consciousness. He denies any injury except some pain in the occipital area of the skull. He also reports chronic fatigue. A routine skull x-ray is obtained for evaluation and is shown below:
http://ccsworkshop.com/blog/question-of-the-week-184/
Which of the following is most likely to be associated with these incidental skull x-ray findings ?
A) Monoclonal gammopathy
B) Pituitary tumor
C) Hemolysis
D) Paget disease
E) Glioma
0 - ArchivalUser - 06-16-2011
D.
0 - ArchivalUser - 06-16-2011
D,
0 - ArchivalUser - 06-16-2011
Hemolysis......
0 - ArchivalUser - 06-16-2011
guess so "hair on end"
0 - ArchivalUser - 06-16-2011
Yup.. "hair on end" is typical for hemolysis..........
0 - ArchivalUser - 06-16-2011
.? Hair on end is picture of pagets, right? Am I wrong?
0 - ArchivalUser - 06-16-2011
Hair on end is for hemolysis... i think..
0 - ArchivalUser - 06-16-2011
Yup... Thalessemia...
Hemolysis should be the answer
0 - ArchivalUser - 06-16-2011
Oh yea, only 10 yr old kid, should be chronic haemolysis due to thalassaemia. Thanks
Pagets should be old age with hearing loss, isolated high alk phosphatase.