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Old 02-24-2010
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Question Difficult CK question

45 year female presented with several weeks of malaise. She also complains of frequent abdominal pains specially after eating. On examination was found to have hypertension and decreased sensation over the dorsum of the left foot.

Which of the following investigations can be useful in this patient?
A- Hepatitis B profile
B- Fasting blood glucose
C- Colonoscopy
D- Upper GI endoscopy
E- MRI spine
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Old 02-24-2010
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Default

What is the answer for God's sake
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Old 02-24-2010
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upper GI endo. as I think
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Old 02-24-2010
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Default Polyarteritis Nodosa

This is a case of polyarteritis nodosa. they typically have mononeuritis multiplex, and the abdominal pain due to abdominal vessel vasculitis and the hypertension is due to kidney involvement.

PAN is associated with hepatitis B. So the answer is option A
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