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  #1  
Old 06-19-2011
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Biochemistry An emergency vitamin treatment!

A 60 year old man is found living on the streets in the middle of a blizzard. The police bring him in to the emergency room where his core body temperature quickly achieves normal. On physical exam you notice many missing teeth, bruises on his elbows, buttocks, knees, and thighs, and a balding head with perifollicular ecchymoses. The man has a large infected ulcer on his left buttock. What treatment should be immediately given?

A - Vitamin B2
B - Vitamin B3
C - Vitamin C
D - Vitamin B12
E - Vitamin K
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Old 06-19-2011
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Vit. C, he's got scurvy.

Last edited by patelMD; 06-19-2011 at 09:38 AM.
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Quote:
Originally Posted by patelMD View Post
Vit. C, he's got rickets.
I think you meant scurvy

Rickets is Vit D
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Quote:
Originally Posted by apx85 View Post
I think you meant scurvy

Rickets is Vit D
Woops lol

I guess when you're geared towards solving more complex problems you tend to forget the little details..
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Quote:
Originally Posted by patelMD View Post
Vit. C, he's got rickets.
Scurvy??

What treatment should be immediately given?...well, this is not an emergency
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Quote:
Originally Posted by patelMD View Post
Woops lol

I guess when you're geared towards solving more complex problems you tend to forget the little details..
Yea I know what you mean, it happens to the best of us
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Originally Posted by bebix View Post
Scurvy??

What treatment should be immediately given?...well, this is not an emergency
Yea, that's what I thought too, the question is flawed..

Missing teeth, bruises etc can't really be solved ''immediately''
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Quote:
Originally Posted by bebix View Post
Scurvy??

What treatment should be immediately given?...well, this is not an emergency
It's not necessarily an emergency, but you still would want to supplement Vitamin C to reverse the condition as soon as possible. Gotta keep those hospital beds open for our patients with Sarcoid. Based on the number of sarcoid questions I've seen, I'm sure there is a new case of sarcoid everyday
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Originally Posted by apx85 View Post
It's not necessarily an emergency, but you still would want to supplement Vitamin C to reverse the condition as soon as possible. Gotta keep those hospital beds open for our patients with Sarcoid. Based on the number of sarcoid questions I've seen, I'm sure there is a new case of sarcoid everyday
same with SLE, Wiskott Aldrich, and Fragile X Syndrome.
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Quote:
Originally Posted by patelMD View Post
same with SLE, Wiskott Aldrich, and Fragile X Syndrome.
Interestingly enough SLE seems to be getting more common in the region where I live. I wonder why.
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Originally Posted by ALittleTeaPot View Post
Interestingly enough SLE seems to be getting more common in the region where I live. I wonder why.
Rochester?
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Rochester?
Nah I live in Australia. Rural Victoria region.
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Originally Posted by ALittleTeaPot View Post
Nah I live in Australia. Rural Victoria region.
Ohh way off haha
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i think dat pat need vit D becoz it is involved in regulating Ca which controls bleeding.
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Old 06-20-2011
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This patient is suffering from scurvy. Scurvy is a disease resulting from a deficiency of vitamin C, which is required for the synthesis of collagen in humans. Vitamin C facilitates addition of hydroxyl groups to the amino acids proline or lysine in the collagen molecule. This allows the collagen molecule to assume its triple helix structure and makes vitamin C essential to the development and maintenance of scar tissue, blood vessels, and cartilage. Scurvy leads to bruising , spongy gums, perifollicular ecchymoses, and bleeding from the mucous membranes. The spots are most abundant on the thighs and legs. In advanced scurvy there are open, suppurating wounds and loss of teeth. The presentation they almost always use on the test is perifollicular ecchymoses or perifollicular hematomas. The bleeding gums clue would be way too easy.
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