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  #1  
Old 06-28-2011
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Question DVT, Panic attack, and Cancer!

A 52-year-old woman tells her doctor that she is experiencing pains in the abdomen and thighs and insists that she is suffering from some form of cancer. A physical examination reveals only the presence of extensive varicose veins. While collecting additional patient history, you find that the woman has become increasingly anxious, with a sense of impending
doom, and intensifying abdominal discomfort. You decide to do further medical workup to rule out cancer. Which of the following malignancies is most likely in this patient?

(A) carcinoma of the pancreas
(B) glioblastoma
(C) carcinoma of the stomach
(D) Kaposi sarcoma
(E) pancoast tumor
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  #2  
Old 06-28-2011
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no Idea. But how is it a behavioral science question?
My guess would be Pancreatic malignancy.
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  #3  
Old 06-28-2011
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I dont know why the title says Beh Question... but the answer is A

Pancreatic Malignancy and the sign that this pte is showing is Trousseau Sign = Migratory Thrombophebitis...
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  #4  
Old 06-28-2011
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answer is A !!
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  #5  
Old 06-28-2011
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Correct Answer A is the answer

It is titled behavioural science que cos sometimes, tail of pancreas cancer has major depression as a symptom.
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  #6  
Old 06-28-2011
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first time i know this!! thanx
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Old 06-28-2011
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Quote:
Originally Posted by saintdizzy View Post
It is titled behavioural science que cos sometimes, tail of pancreas cancer has major depression as a symptom.
Could you plz explain how that works?
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  #8  
Old 06-28-2011
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Quote:
Originally Posted by Mashee View Post
Could you plz explain how that works?
i'm sorry, that i dont know. i go to know about the depression thing today. i've been trying to find why, but so far i've got nothing.
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  #9  
Old 06-28-2011
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I wud go with A
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Old 06-28-2011
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Default Caecinoma of Pancreas

Ca pancreas with migratory thrombophlebitis and mets??
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  #11  
Old 06-29-2011
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Search pancreatic cancer and depression

1.-Some authors ascribe cancer related depression to paraneoplastic limbic encephalitis: symptoms of paraneoplastic limbic encephalitis often precede cancer diagnosis as depression precedes pancreatic cancer, and almost 50% of pancreatic cancer patients show depressive symptoms in advance of their tumor diagnosis.

2.- Another hypothesis is a dysregulated immune response (the causal link between depression and cancer). Animal models indicate that proinflammatory cytokines can elicit "depression-like" symptoms. In pancreatic cancer patients indeed increased levels of several cytokines such as IL-6, IL-18 and TNF-alpha can be found. These factors may have impact on the hypothalamic-pituitary-adrenal (HPA) axis and the CRF (corticotropin-releasing factor). Some authors assume this pathway to be the cause for pathologic results in the dexamethason suppression test, in analogy to a paraneoplastic symptom. Elevated IL-6 plasma levels in particular seem to be associated with major depression in pancreatic cancer patients and tumor cells can influence production of serotonin receptor antibodies active in central nervous system.
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  #12  
Old 07-03-2011
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Question May it be gliobalstoma?

Quote:
Originally Posted by saintdizzy View Post
A 52-year-old woman tells her doctor that she is experiencing pains in the abdomen and thighs and insists that she is suffering from some form of cancer. A physical examination reveals only the presence of extensive varicose veins. While collecting additional patient history, you find that the woman has become increasingly anxious, with a sense of impending
doom, and intensifying abdominal discomfort. You decide to do further medical workup to rule out cancer. Which of the following malignancies is most likely in this patient?

(A) carcinoma of the pancreas
(B) glioblastoma
(C) carcinoma of the stomach
(D) Kaposi sarcoma
(E) pancoast tumor
i think there is some neural system symptoms which should be caused by the malignancies related to the NS.
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