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  #1  
Old 08-27-2012
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Question Sallow complexion

A man presents with a sallow lemonish tinge to his complexion, anemia and weight loss. Which of the follows is LEAST LIKELY cause?

(a) carcinoma of stomach
(b) carcinoma of thyroid
(c) carcinoma of caecum
(d) carcinoma of pancreas
(e) pernicious anemia
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Old 08-27-2012
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it's pure guess........
b) carcinoma thyroid
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Old 08-27-2012
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Default my answer

I'll say it's (b) carcinoma of thyroid
reason: metas to the liver are uncommon
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Old 08-27-2012
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Can someone plz expalain a sallow lemonish tinge to his complexion?

@Casandra @Venky2600
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Quote:
Originally Posted by Doc4Step1 View Post
Can someone plz expalain a sallow lemonish tinge to his complexion?

@Casandra @Venky2600
sallow tinge generally applies to a skin which lost glowness(shineness) and appears weak...most commonly seen in anemics( pallor).....sallow lemonish tinge means u can take it as light yellowish dry skin( like jaundice)
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Old 08-27-2012
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Quote:
Originally Posted by Doc4Step1 View Post
Can someone plz expalain a sallow lemonish tinge to his complexion?

@Casandra @Venky2600
I interpreted that as sort of jaundice-like skin. so it can be present in pernicious anemia and cancer if the liver is involved (like metas from pancreas, stomach, caecum ca.). Thyroid ca. was the only one where liver metas are uncommon so I picked it.
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@Venky2600 @Casandra


Thanks a lot Both of you
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Old 08-27-2012
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The answer is b)
Sallow complexion = pale anemic looking
Carcinomas of stomach, caecum, pancreas, cause blood loss into the guts, whereas carcinoma of thyroid does not. Therefore carcinoma of thyroid is lest likely to cause anemia, at least not in the early stage.
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