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Gastrointestinal Case ..

Discussion in 'Case Studies' started by Dr.Dalia, Jan 13, 2012.

  1. Dr.Dalia

    Dr.Dalia Famous Member

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    A 26-year-old man comes to your office for an examination because of tremors, spasticity, and drooling. He has headaches and fatigue.
    On physical examination, he is very slightly icteric, the liver is not palpable, and no spider angiomata are present, but he has resting and intention tremors and spasticity.
    Slit-lamp examination reveals a yellow-brown ring in the limbus of the cornea.
    Laboratory tests show elevated AST and ALT and a ceruloplasmin level of 7 mg/dL (normal 20 -35 mg/dL).

    1- The diagnosis is
    a. Hemochromatosis
    b. Gaucher’s disease
    c. Biliary cirrhosis
    d. Wilson’s disease
    e. Type III glycogen storage disease

    2- (yellow-brown ring in the limbus of the cornea) what is the name of this sign?

    3- Lab Studies may show Anemia. What is the type of it? What is the mechanism that led to the development of this Anemia ?
     

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    Fahad Hayyawi and Dr Menna like this.

  2. Momin Ullah

    Momin Ullah Well-Known Member

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    1. D
    2. k-f ring
    3. haemolysis
     


  3. elkana

    elkana Famous Member

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    Can be willson´s disease. The sign is called Keiser-Fleischer ring. Anemia is due to acute liver failure which leads to hemolytic anemia.
     


  4. anany

    anany Famous Member

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    willson´s disease
     


  5. Rocket Queen

    Rocket Queen Super Moderator

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    1-Wilson’s disease
    2-Keiser-Fleischer ring
     


  6. Sisca Dwi Agustina

    Sisca Dwi Agustina Active member

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    1. D. Wilson's Disease, an inherited disorder of copper metabolism, its characterized by deposition of copper in the liver, brain and other places. its caused by excesive absorption of copper in small intestiness and decreased excretion of copper by liver.

    2. Keiser-Fleischer ring, it is formed by the deposition of copper in the Descemet membrane in the limbus of the cornea

    3. Haemolytic Anemia, it occurs as a consequence of oxidative damage to the erythrocytes by the higher copper concentration
     


  7. NinaSlavova

    NinaSlavova Well-Known Member

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    wilson's disease
     


  8. NinaSlavova

    NinaSlavova Well-Known Member

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    Keiser-Flaisher ring, haemolytic anaemia
     


  9. waris

    waris Young Member

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    wilsons
     


  10. naz

    naz Well-Known Member

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    wilson's disease ,keiser_flaisher ring,haemolytic anemia
     


  11. medico

    medico Young Member

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  12. medico

    medico Young Member

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    La respuesta es tipo III Glucogenosis 2.
     


  13. hussien

    hussien Active member

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    1-Wilson’s disease
    2-Keiser-Fleischer ring
    3- Normocytic Hypochromic anemia ..
     


  14. zmaraee

    zmaraee Active member

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    wilson's disease
    keiser-fleischer ring
    normocytc hypochromic anaemie
     


  15. Dr Menna

    Dr Menna Active member

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    wilson's disease
    keiser flischer ring
     


  16. Mohammedsordahi

    Mohammedsordahi Bronze Member

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    1-Wilson's
    2-kayser fleischer ring
    3-haemolysis due to ↑copper causing oxidation of haemoglobin
     


  17. hayam

    hayam Young Member

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    1- The diagnosis is Wilson`s disease
    2- This sign is named kaiser fleshier ring.
    3-Type of anaemia is Hemolytic anaemia due to increase copper cause oxidatoion of erthrocytes.
     


  18. Mahmoud Elsharkawy

    Mahmoud Elsharkawy Active member

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    Wilson’s disease
    kieser fleisher ring
    microcytic hypochromic anemia due to copper deficiency
     


  19. taha

    taha Famous Member

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    wilson disease k-f ring hemolysis
     


  20. amnarafiq34

    amnarafiq34 Active member

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