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 +0  (nbme23#39)

The stems also states that lateral chest x-ray shows mild osteopenia. Celiac disease can lead to malabsorption due it's pathology affecting absorption of nutrient. Celiac disease is often a cause of low bone density and patients with celiac disease have an increased fracture risk. This is thought to be due to lack of absorption of vitamin D and calcium causing a secondary hyperparathyroidism.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3215989/

Furthermore, in celiac disease, impaired iron uptake from the duodenal lumen is the most likely cause since Iron enters the epithelial cell of the duodenal mucosa in ferrous form through an apical or brush border membrane transport protein termed the divalent metal transporter (DMT1).

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4541375/

Taking into account the following, based on her lab values she has microcytic anemia given her hemoglobin level of 9.6 and her MCV of 74 which is < 80. Lab values of a pt w/ Iron deficiency would be: decreased 􏰄iron,􏰂 high TIBC, decreased 􏰄ferritin,􏰂 increased free erythrocyte protoporphyrin.

FA 2017 page 396.


 +1  (nbme23#30)

C1q, C1r, and C1s form the C1 complex. Any time you see C1 with any of these three letters "qrs" think of C1 which is the first component of the classical complement pathway


 +1  (nbme23#25)

AB is the only blood group that does not have preformed IgM antibodies in the plasma.

Blood group A has anti-B IgM

Blood group B has ani-A IgM

Blood group AB "NADA"

Blood group O has both anti-A & anti-B IgM

FA 2017 page 390

axsa19  anti*




Subcomments ...

submitted by seagull(467),

Trauma lead to ARDS. ARDS developed exudate accumulation in lungs which brought on more inflammation.

axsa19  Pathoma page 94 +  


submitted by axsa19(2),

AB is the only blood group that does not have preformed IgM antibodies in the plasma.

Blood group A has anti-B IgM

Blood group B has ani-A IgM

Blood group AB "NADA"

Blood group O has both anti-A & anti-B IgM

FA 2017 page 390

axsa19  anti* +