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15- Endocrinology Case

Discussion in 'Case Studies' started by John Jossef, May 14, 2011.

  1. John Jossef

    John Jossef Bronze Member

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    A 54 years old man who has had a Billroth two procedure for pepric ulcer disease now presents with abdominal pain and is found to have recurrent ulcer disease. The physician is considering this patient illness to be secondary either to retained antrum or to gastrinoma. Which of the following tests would best differentiate the two conditions?

    1- Random gastring level
    2- Determination of 24-hour acid production
    3- Serum Calcium level
    4- Secreting infusion
    5- Insulin induced hypoglycaemia

    From: Pre Test Medicine 12th
     

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  2. darx the legend

    darx the legend Well-Known Member

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    Secretin infusion. If its due to returned antrum, gastrin levels will drop, but the gastrin level remains elevated in gastrinoma.
     


  3. Dr.jebsy

    Dr.jebsy Well-Known Member

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    3- Serum Calcium level
     


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