@sarahmle - cardio69

[ArchivalUser]

lol.......@sarahmle...i feel you....

[ArchivalUser]

cardio69?

[ArchivalUser]

i'll go with C. Sodium will not change because it will get reabsorbed more through the PCT.

[ArchivalUser]

Cc
Ty!

[ArchivalUser]

RT. C

@sarah read each members who ans the q & exp and apply it together. If you not still clear let me know.

[ArchivalUser]

@Cardio..yes ive been re-reading the answers by these members yes i got it,thanq f rcomin up wid the qs.
good revision.

[ArchivalUser]

Welcome sarah. we will do more physio coming days.
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A 67 y/o M "out of sorts" for over a year.PE; reveals no abnormal findings.

Lab finding;

Hb: 10.5 g/dL
Hct: 31.6%
MCV: 89 fL
Platelet count 210,999/microliter
WBC coun: 6979/microliter.
Total serum iron: 130 microgm/dL
TIBC: 231 microgm/dL
Soluble serum transferrin receptor norm

A BM biopsy/microscopic exam reveals maturation is occurring in all cell lines and there are no abnormal cells seen. Stainable iron in the bone marrow INC. Which of the following underlying diseases is he most likely to have?

a)SLE
b)Divertiulosis
c)Atrophic gastritis
d)Fanconi anemia
e)HCV infection

[ArchivalUser]

D. fanconi anemia because you have DNA repair defect, hence all the blood values are in the lower range and no abnormal cells
Thank you!

[ArchivalUser]

"B" chronic blood loss associated with diverticulosis.

SLE,HCV and fanconi associated with Aplastic anemia , only Hb is dec rest are within their normal range,
Atrophic gastritis can lead to megaloblastic anemia due to vit B12 deficiency.

ty

[ArchivalUser]

ahh crap, yeah i didnt pick up on that one! why are there "stainable iron" in bone marrow? shouldnt blood loss cause decrease in serum iron?