Skip to main content

USMLE Question: Clinical Case - 11

A forty-five years old school teacher who is a known case of rheumatoid arthritis for the last six years presents with generalized swelling of her body including face, abdomen and feet. She has been on various medications for rheumatoid arthritis in the past. However, on system review, she admits that she had been taking a new drug for the last six months for her rheumatoid arthritis prescribed by her old family physician. On examination, she looks obviously pale and puffy in the face and generalized pitting edema of her body and feet. Laboratory results are given below;
Hemoglobin: 12mg%
Total Leukocyte count (TLC) and Differential leukocyte count (DLC): Normal
Blood urea: 40 mg%
Blood creatinine level: 1.2 mg%
Urine analysis: Protein+++, RBCs 1-2 per high power field (HPF), casts 4-5 per high power field,
Liver function tests: Normal.
Answer the following question. You will get your score instantly after submitting the answers. In the end, Click on “Review Quiz” to see the correct answers.

Don’t Forget to like us on facebook or follow us on twitter to get new posts. Soon we will cover every disease by similar cases. It will help you to revise what you have learned about a specific disease in less than 5 minutes. You may follow us via email.
If you have any question or you disagree with an answer then kindly submit your comment. We will reply you within 12 hours and provide you a reason or explanation.


Popular posts from this blog

Human Parasites, Types of Parasites, and Classification

Parasite: A parasite is a living organism which gets nutrition and protection from another organism where it lives. Parasites enter into the human body through mouth, skin and genitalia. In this article, we will generally discuss the types and classification of parasites. It is important from an academic point of view. Those parasites are harmful, which derives their nutrition and other benefits from the host and host get nothing in return but suffers from some injury. Types of Parasites Ecto-parasite: An ectoparasite lives outside on the surface of the body of the host. Endo-parasite: An endo-parasite lives inside the body of the host, it lives in the blood, tissues, body cavities, digestive tract or other organs. Temporary parasite: A temporary parasite visits its host for a short period of time. Permanent parasite: Permanent parasite lives its whole life in the host. Facultative parasite: A facultative parasite can live both independently and dependently. It lives in the

How to taper off, wean off beta blocker, atenolol, Propranolol, Metoprolol

Beta blockers include, atenolol (Tenormin), propranolol (Inderal ) and metoprolol (Lopressor) and are used to treat high blood pressure, certain cardiac problems, migraine and few other conditions. People usually take atenolol, propranolol or metoprolol for many years as a treatment of high blood pressure or after having an episode of heart attack . Sometimes, it becomes necessary to withdraw these beta blockers due to their potential side effects that trouble the patients or sometimes doctor wants to change the drug and shift the patient to some other anti-hypertensive medicine. No matter whatever the cause is, whenever, a patient who has been using a beta blocker for a long period of time, and he needs to be stopped from further usage of that beta blocker, must not stop taking it. One should taper off the dose of a beta blocker. Now a question arises how to wean off or taper off a beta blocker? The method of tapering off beta blocker varies from individual to individual. Allow you