q5 - srisai99 - Printable Version +- USMLE Forum - Largest USMLE Community (https://www.usmleforum.com) +-- Forum: USMLE Forum (https://www.usmleforum.com/forumdisplay.php?fid=1) +--- Forum: Step 1 (https://www.usmleforum.com/forumdisplay.php?fid=2) +--- Thread: q5 - srisai99 (/showthread.php?tid=607513) Pages:
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q5 - srisai99 - ArchivalUser - 08-17-2011 A 55-year-old man goes to an emergency department because he is experiencing severe abdominal pain, which is radiating straight through to his back. The pain began several hours after an admitted alcoholic binge, and has not changed in position, although it has become worse.The patient has a severe course that requires treatment in an ICU. CIinically, he appears similar to patients with sepsis, with fever, elevated white count, hypotension, increased pulse rate, shallow and rapid breathing, oliguria, and a blunted sensorium, in addition to his pain and abdominal tenderness. These clinical findings are most likely related to which of the following? / A. Activation of the inflammatory cascade / B. AIcohol withdrawal symptoms / C. AIIergic reaction to alcohol / D. Drug toxicity effect / E. Secondary infection with mixed flora gut bacteria 0 - ArchivalUser - 08-18-2011 alcohol induced pancreatitis---D 0 - ArchivalUser - 08-18-2011 AA---- exacerbated inflammatory reaction-- due to acute pancreatitis 0 - ArchivalUser - 08-18-2011 Is it disulfirum like effect----------- D????? 0 - ArchivalUser - 08-18-2011 aaaaaaaa acute pancreatitis lead to DIC lead to activation inflammatory cascade 0 - ArchivalUser - 08-18-2011 AA. Thanks for the questions 0 - ArchivalUser - 08-18-2011 It is a, the q. Saying clinically he appear similar to sepsis, and at end what clinical signs related to? 0 - ArchivalUser - 08-18-2011 AA 0 - ArchivalUser - 08-18-2011 Aaa 0 - ArchivalUser - 08-18-2011 Please,answer and explanation ,I was thinking in D? why A? What is the mechanism ? |