is this a sensible question? - thrombolyser

[ArchivalUser]

hi anthrax
my understanding is that there are few qs in which theres double dx.
2nd thing u wrote abdominal pain interfering with sleep -----> this pt is more sleepy and I can bet with any 1 this pts cns features cant be explained by pancreatic cancer I m very very sure about it
and I am suspicious that UW didn't even talk about his sleepiness and tiredness in explanation
they wrote that this pt may have developed subdural
@anthrax
bro u r right but what about the sleepiness and tiredness starting recently and does ca pancreas cause atypical depression as pt is more sleepy than usual?
how do u explain cns features with ca pancreas thats my q?

[ArchivalUser]

if u read 1st 2 lines of qs the pt is more sleepy in 1st 2 lines and in 3rd line suddenly abd. pain is interfering with sleep
what do u think isnt the author of this q confused.or I m not getting it

[ArchivalUser]

u cannot explain 15 ibs unintentional wt loss in one month on the basis of chronic subdural hematoma and also subdural hematoma has more severe neurological defecit not just sleepiness.

[ArchivalUser]

U r correct aaz I m not doubting pancreatic CA but do u think that this pt has any other problem apart from Ca pancreas or his sole problem is pancreatic CA?

[ArchivalUser]

he might have, ur right Q is vague like it didnt mention the past h/o pancreatitis in the pt and no other risk factor for pancreatic cancer. As anthrax said atypical depression is also ass with pancreatic cancer.

i still believe that his sleepiness is not d/t depression b/c his pain not letting him sleep and his body require sleep and he feel tired and sleepy during day, Remember intractible pain of pancreatitis.

[ArchivalUser]

thanx aaz ur explanation cleared some of my doubts
but remember UW says he also has features of CSDH ( in explanation)
but I learnt some things from this mental exercise
thanx to all

[ArchivalUser]

chronic subdural hematoma is associated w sx of ICP, seizure progressive demencia and gait disturbances,
the PE find only abd pain
I think:pancreat cancer
usuallly with duodenum ulcer we dont lose wt

[ArchivalUser]

what did uw say the answer is?