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3 191
Repost from وَمـضـة|Spark within
اللى بيدرس في مجال الطب أو بيعمل بيه
اجتهدوا في مذاكرتكم و طوروا من شغلكم واتقنوه
في الازمات اللى موجوده في اى دوله دلوقت مين الجندى المجهول اللى محدش بيجيب سيرته ولا غنى عنه ولو كل الناس استخبوا هو اللى بيروح شغله ومينفعش يقعد أو يسرحوه من شغله !! هو اللى بيشتغل في الطب ، صحة الإنسان وحياته .. مفيش حد يعرف يستبدله ، ولا يحل محله اى مهنة تانيه ،
انتوا بتعملوا عظمه بجد ، لازم تكونوا شاطرين ومتفوقين ، الله يبارك في دراستكم وعملكم وينفع بيكم .
ـــ لصاحبه
3 191
Clinical case:راجل عنده 58 سنة، عنده تاريخ طويل مع شرب الكحول، جه يشتكي من انتفاخ في البطن تورم في الرجلين تعب شديد اصفرار في العين وكمان بقي بيتلخبط أوقات في الكلام والتركيز بيقول إن الأعراض زادت تدريجي خلال الشهور اللي فاتت.
بالفحص:jaundice ascites bilateral lower limb edema spider angioma palmar erythema shifting dullness positive
التحاليل:Albumin ↓ Bilirubin ↑ AST > ALT PT prolonged احتمال التشخيص هنا ايه ؟
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A patient with chronic malabsorption after tropical travel undergoes intestinal biopsy.
Which histologic finding is most likely present?
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A patient with tropical sprue develops peripheral neuropathy and glossitis.
Which deficiency is most likely contributing to these findings?
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A patient with tropical sprue has persistent diarrhea and malabsorption after travel abroad.
Which stool finding is most likely present?
3 191
A patient with chronic tropical sprue develops vitamin deficiency–related bleeding tendency.
Deficiency of which vitamin is most likely present?
3 191
A patient with tropical sprue complains of bulky foul-smelling stools and fatigue.
Which mechanism best explains the diarrhea?
3 191
A patient with tropical sprue develops macrocytic anemia due to impaired nutrient absorption.
Which region of the intestine is primarily involved?
3 191
A patient with tropical sprue has chronic diarrhea and weight loss. Small bowel biopsy reveals villous atrophy.
Which feature helps distinguish this condition from celiac disease?
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A traveler returning from Southeast Asia develops chronic malabsorption and steatorrhea.
Which treatment is most appropriate?
3 191
A patient with tropical sprue presents with megaloblastic anemia and glossitis.
Deficiency of which nutrient is most likely responsible?
3 191
A 34-year-old man develops chronic diarrhea and weight loss after living in the Caribbean for several months. Small bowel biopsy shows villous blunting.
Which diagnosis is most likely?
3 191
A patient with bloating and diarrhea after dairy ingestion has normal intestinal biopsy findings.
Which feature best distinguishes lactose intolerance from celiac disease?
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A patient with chronic lactose intolerance avoids dairy products for years.
Deficiency of which nutrient is most likely to occur?
3 191
A patient with lactose intolerance has acidic stools due to bacterial fermentation products.
Which stool pH is most likely present?
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A newborn develops severe diarrhea immediately after breast milk feeding.
Which form of lactose intolerance is most likely?
