is this a sensible question? - thrombolyser

[ArchivalUser]

why not D?
ptsd causing stress ulcer??

[ArchivalUser]

hi thrombo, i remeber this question very well & i'll not forget it, because it take time to convince me
yea it's not sensible question agree, full of tricks!
i think i chose PTSD
after that i came to a conclusion that they want us to think that ca pancrease ca present with depression [wont forget it!]

[ArchivalUser]

pt with chronic sub dural hematoma present with fluctuating level of consciousness( personality changes, dementia, confusion,headache, drowsiness), they are mostly elderly which our pt is not or they are alcoholic.

[ArchivalUser]

so i ll still go with pancreatic cancer

[ArchivalUser]

toha actually in the erxplanation they didnt talk about depression from pancreas but they said that considering his h/o fall and symptoms of tiredness chronic subdural hematoma may have developed.

[ArchivalUser]

aaz though answer is pancreatic cancer
I choose subdural hematoma(its not necessary that subdural cant develop in nonalcoholic and young)
what I understand from UW explanation is that he has both pancreatic cancer and subdural
my simple q is if pt has both problems at a time which 1 to choose as a dx in this type of qs

[ArchivalUser]

welcome toha.
and also if ur reasoning is right is it atypical depression from ca pancreas(sleepiness tiredness) if not whats the cause of cns features?

[ArchivalUser]

hello all
@thrombo
panc CA is highly associated with depression more than any tumour
subdura hematoma = alcoholic + eldelry

[ArchivalUser]

i dont think he has both problems, in real world ya pt could have many diseases exist at a same time but in exam esp if asking only dx , there shd be only 1 dx.

Still if explanation suggest both possibilities go with one with more clues.

wt loss, abd pain interfereing sleep, anorexia...cancer

sleepiness,tiredness with h/o fall 2 months ago..i think pt with chronic subdural hematoma are more sick , though not necessary loose consciousness but their mental status is deteriorating and present in weeks to month.I mean they wont present after 2 moths of fall.

Does it make sense..this is my understanding...wht u say

[ArchivalUser]

i think i saw this question i kaplan q bank, yes i do
CSDH, has to be ELDELY + alcoholic, lucid interval, headach, memory probems, possible focal signs, and yes sleepy
ASDH yes in young but with sever injury like VMA [RTA]
i don't remeber the explanation well, but after i start revising ca pancrease, they mention that pt may present with depression, and this question came immediatly to my mind! that is it