Dyspepsia, Diarrhea, Dysuria, and a tumor! - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 1 Forum

USMLE Step 1 Forum USMLE Step 1 Discussion Forum: Let's talk about anything related to USMLE Step 1 exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 01-03-2012
patho2012's Avatar
USMLE Forums Veteran
 
Steps History: ---
Posts: 213
Threads: 13
Thanked 119 Times in 81 Posts
Reputation: 129
Question Dyspepsia, Diarrhea, Dysuria, and a tumor!

A 30-year-old man complains of hematuria and dysuria for one day’s duration. His past medical history includes dyspepsia for which he takes omeprazole in addition to chronic diarrhea. On physical examination, you note that he has temporal visual field defects bilaterally. He is found to have nephrolithiasis on a plain abdominal x-ray. Which of the following types of tumor is this patient’s highest risk of cancer?

Hypercalcemia
Pancreatic endocrine tumors
Neuroendocrine thyroid tumors
Pituitary adenoma
Prolactinoma
Reply With Quote Quick reply to this message
The above post was thanked by:
anomali (01-03-2012), drortho (01-16-2012), menatallah Elgohary (01-19-2012)



  #2  
Old 01-03-2012
USMLE-Syndrome's Avatar
USMLE Forums Master
 
Steps History: ---
Posts: 1,203
Threads: 180
Thanked 1,254 Times in 441 Posts
Reputation: 1268
Default

MEN 1 cause

parathyroid gland (parathyroid adenomas), pancreatic tumors called gastrinomas and insulinomas,and
Pituitary tumors occur in 15 to 42% of MEN 1 patients. From 25 to 90% are prolactinomas.
and
Pancreatic islet cell tumors occur in 60 to 70% of patients

Hyperparathyroidism is present in ≥ 90% of patients.disrupts the normal balance of calcium in the blood, which can lead to kidney stones, thinning of bones, nausea and vomiting, high blood pressure (hypertension), weakness, and fatigue.

i think is the answer because he said the highest risk not what he have a cancer
Pancreatic endocrine tumors
Reply With Quote Quick reply to this message
The above post was thanked by:
menatallah Elgohary (01-19-2012), patho2012 (01-03-2012)
  #3  
Old 01-03-2012
patho2012's Avatar
USMLE Forums Veteran
 
Steps History: ---
Posts: 213
Threads: 13
Thanked 119 Times in 81 Posts
Reputation: 129
Default

that 's what makes me confused. He has MEN1 certainly. All the 3 types of tumors are present or manifested: parathyroid hyperplasia ( seen as hypercalcemia), pituitary tumor, and pancreatic tumor (prob gastrinoma or VIPoma). But from what I understand, the Q asks about the probability to develop a cancer ( not yet present but likely to develop). So is there any chance that pts of MEN I will also have ret protooncogen mutation or any connection between MEN I and IIA...?
I go with thyroid medullary cancer.
Reply With Quote Quick reply to this message
 
  #4  
Old 06-04-2014
USMLE Forums Newbie
 
Steps History: Not yet
Posts: 1
Threads: 0
Thanked 0 Times in 0 Posts
Reputation: 10
Default pituitary adenomaPituitaradenomay Prolactinoma[/QUOTE]

: plz:
Quote:
Originally Posted by patho2012 View Post
A 30-year-old man complains of hematuria and dysuria for one dayís duration. His past medical history includes dyspepsia for which he takes omeprazole in addition to chronic diarrhea. On physical examination, you note that he has temporal visual field defects bilaterally. He is found to have nephrolithiasis on a plain abdominal x-ray. Which of the following types of tumor is this patientís highest risk of cancer?

Hypercalcemia
Pancreatic endocrine tumors
Neuroendocrine thyroid tumors
Pituitaradenomay Prolactinoma
Reply With Quote Quick reply to this message
  #5  
Old 06-04-2014
USMLE Forums Scout
 
Steps History: Not yet
Posts: 13
Threads: 0
Thanked 3 Times in 3 Posts
Reputation: 13
Default

I go for Pituitary Adenoma / Prolactinoma. My clue here is the Bitemporal Hemianopsia.
Reply With Quote Quick reply to this message
  #6  
Old 06-11-2014
USMLE Forums Scout
 
Steps History: Not yet
Posts: 16
Threads: 6
Thanked 5 Times in 2 Posts
Reputation: 15
Default

It's MEN 1 for sure..
History of dyspepsia has to be explained
And renal stones
And bitemporal visual loss

You can't just go with one symptom only
Reply With Quote Quick reply to this message



Reply

Tags
Endocrine-, Pathology-, Step-1-Questions

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Cause of diarrhea Peets USMLE Step 1 Forum 7 05-19-2016 01:31 PM
Management of diarrhea..WTF! tyagee USMLE Step 2 CK Forum 10 12-08-2011 01:07 PM
diarrhea ricko335 USMLE Step 1 Forum 5 10-21-2011 10:57 AM
Which drug is responsible for dysuria and hematuria! earthpole USMLE Step 1 Forum 7 06-19-2011 10:50 AM
Diarrhea in AIDS docoftheworld USMLE Step 2 CK Forum 2 06-05-2011 04:26 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)