Somali Medical Forums

Medical Student Forums => Problem-Based Learning Center => Topic started by: Admin on February 21, 2007, 05:28:23 PM

Title: Case (3)
Post by: Admin on February 21, 2007, 05:28:23 PM
Mr Abdi Husein is a 55-year-old Library manager.
He has been admitted to hospital for investigation of increasing cardiac failure.
Examination reveals that he has an enlarged liver.
It is noticed that his skin is a uniform dark colour.
Also there is abnormal glucose tolerance as revealed by the investigation.

1 What is the diagnosis?

2 What pathology occurs in the liver?

3 What is the reason for abnormal glucose tolerance?

4 After correctly diagnosing and treating Mr abdi, what else must be done?
Who answer all these above questions correctly will be a warded 15 points immediately
and we only accept one answer from each user?
who replies more than once will be kicked out from this competition!
The answers will be displayed after 7 days then we choose the winner and lock the topic
By: Dr.Mahdi 
Title: Re: Case (3)
Post by: Admin on February 21, 2007, 05:36:10 PM
Please Send your answer to me as personal message and vierify here you have answered the question!!
If you don't know how to do that send it through this email
We do that only to hide your answer from others!!
Then we display the answers and choose the best after one week!!

By: Dr.Mahdi
Title: Re: Case (3)
Post by: IsseGole on March 15, 2007, 01:31:59 PM
The 15 point of this case goes to Ladan, who answered it correctly and this was her answer:

1) Hemochromatosis

2) Iron deposition in liver cells

3) Iron deposits in Pancreas, hence the cause of DM (Bronze diabetes).

4) Diagnosis is liver biopsy and treatment is phlebotomy. The other thing that should be done is genetic studies for himself (whether he is homozygous or heterozygous carrier) and immediate family.

PS: Iron deposits in the heart causing Diastolic heart failure.

The rest of the answer is coming soon, and also another case is on the way, just be patient and try to answer the next one.