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* drug abuse
 #134418  
  kabiraj - 10/31/06 22:50
 
  A 29 yr old man with a history of injection drug use presents with complaints of fever, fatigue, nausea, loss of appetite, joint pain and abdominal soreness for the past few weeks. He has no pharyngitis or swollen cervical lymph nodes. He reports that his urine is dark and you see that the sclera of his eyes appear yellowish. His urine is dark due to

A) dehydration
B) conjugated bilirubin
C) unconjugated bilirubin
D) blood
E) AST and ALT (liver enzymes)

 
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* Re:drug abuse
#538523
  yelito61 - 10/31/06 22:52
 
  C: is the correct.
 
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* Re:drug abuse
#538524
  kashmala - 10/31/06 22:53
 
  c.  
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* Re:drug abuse
#538528
  rmansour - 10/31/06 22:54
 
  BBB  
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* Re:drug abuse
#538530
  vl2ss - 10/31/06 22:55
 
  Isnt it BB??  
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* Re:drug abuse
#538535
  rmansour - 10/31/06 22:57
 
  UNCONJUGATED BILIRUBIN IS NOT FILTERED BY THE KIDNEY. IT'S LIPID SOULBLE. THE CONJUGATED FORM IS RENALLY ELIMINATED (WATER SOLUBLE), AND APPEARS IN THE URINE GIVING THE URINE A DARK COLOR.  
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* Re:drug abuse
#538545
  yelito61 - 10/31/06 23:02
 
  Yes rmansur you're right . I change to B.  
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* Re:drug abuse
#538611
  niyati82 - 10/31/06 23:56
 
  its b
uncojugated is wid albumin so not filtered by kidney
 
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* Re:drug abuse
#538613
  kashmala - 11/01/06 00:01
 
  well i believe u rite but how abt urobilinogen seen in urine in pts with hemolytic disease(any)
bilirubin is seeen in urine pts with con hyperbilirubinemia
 
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* Re:drug abuse
#538614
  kashmala - 11/01/06 00:03
 
  sory my above message was incomplete
well i believe u rite but how abt urobilinogen seen in urine in pts with hemolytic disease(any) who have uncon hyperbilirubinemia
bilirubin is seeen in urine pts with con hyperbilirubinemia
 
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* Re:drug abuse
#539043
  kabiraj - 11/01/06 11:28
 
  B is correct  
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