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Archer review Medicine Question 140 - misshyd
#1
184) A 10 year old boy is evaluated in the emergency room after he tripped over and fell during a basketball game. There is no history of loss of consciousness. He denies any injury except some pain in the occipital area of the skull. He also reports chronic fatigue. A routine skull x-ray is obtained for evaluation and is shown below:
http://ccsworkshop.com/blog/question-of-the-week-184/
Which of the following is most likely to be associated with these incidental skull x-ray findings ?
A) Monoclonal gammopathy
B) Pituitary tumor
C) Hemolysis
D) Paget disease
E) Glioma
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#2
D.
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#3
D,
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#4
Hemolysis......
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#5
guess so "hair on end"
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#6
Yup.. "hair on end" is typical for hemolysis..........
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#7
.? Hair on end is picture of pagets, right? Am I wrong?
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#8
Hair on end is for hemolysis... i think..
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#9
Yup... Thalessemia...
Hemolysis should be the answer
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#10
Oh yea, only 10 yr old kid, should be chronic haemolysis due to thalassaemia. Thanks

Pagets should be old age with hearing loss, isolated high alk phosphatase.
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