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  #1  
Old 04-30-2013
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GIT The cause of GI symptoms

A 45 YR old man from Mexico presents with recurrent great toe pain for which he has been taking medication for it. He is obese and consumes red meat with red wine on a regular basis. he now presents with flank pain; burning micturation; vomiting; constipation; abdominal pain. The most likely cause of Gastrointestinal symptoms is due to
a) gall stone ileus
b) tuberculosis of intestine
c) GI carcinoma
d) autonomic cause
e) some medications effect
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Old 04-30-2013
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Dude ,nice question.......unable to conclude the diagnosis well....symptoms seem like gout leading to hypercalcemia ....

may be due to E) medication effect

thanks
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Old 04-30-2013
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Colchicine side effects I'm guessing
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Old 04-30-2013
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Correct Answer D

Quote:
Originally Posted by rupesh View Post
A 45 YR old man from Mexico presents with recurrent great toe pain for which he has been taking medication for it. He is obese and consumes red meat with red wine on a regular basis. he now presents with flank pain; burning micturation; vomiting; constipation; abdominal pain. The most likely cause of Gastrointestinal symptoms is due to
a) gall stone ileus
b) tuberculosis of intestine
c) GI carcinoma
d) autonomic cause
e) some medications effect
here this guy has uric acid calculi .this calculi became so painful that this guy has excessive VAGAL reaction resulting in ILEUS.
but i dont the exact mechanism of vagal reaction and Ileus...anybody if they know pls post it...
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shinigami (04-30-2013), venky2600 (04-30-2013)
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Old 04-30-2013
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Quote:
Originally Posted by rupesh View Post
here this guy has uric acid calculi .this calculi became so painful that this guy has excessive VAGAL reaction resulting in ILEUS.
but i dont the exact mechanism of vagal reaction and Ileus...anybody if they know pls post it...
dude i did this question recently and again i forgot to answer correct....

what i found is : Postoperative ileus involves reflex inhibition of intestinal motility within hours after surgery and a subsequent intestinal inflammatory response that is characterized by efferent vagal modulation via acetylcholine receptors on intestinal macrophages.

it's from a journal ----but it's postop ileus case.......(not stone leading to ileus)
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Originally Posted by venky2600 View Post
dude i did this question recently and again i forgot to answer correct....

what i found is : Postoperative ileus involves reflex inhibition of intestinal motility within hours after surgery and a subsequent intestinal inflammatory response that is characterized by efferent vagal modulation via acetylcholine receptors on intestinal macrophages.

it's from a journal ----but it's postop ileus case.......(not stone leading to ileus)
isnt Ach/Parasympathetic causes increase GI motility
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Quote:
Originally Posted by rupesh View Post
isnt Ach/Parasympathetic causes increase GI motility
yeah,thats the reason many couldnt answer the question
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Gastroenterology-, Internal-Medicine-, Rheumatology-, Step-2-Questions

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