nbme20/Block 4/Question#20
A 5-year-old boy is brought to the physician for a ...
Hypophosphatemia
medschul
Wouldn't Fanconi syndrome also cause hypokalemia though?
+2 2019-06-04T19:42:38Z
yotsubato
Especially considering the fact that the DCT will be working in overdrive to compensate for lost solutes???
+ 2019-06-10T12:47:37Z
nala_ula
This question did not make sense to me at all. I knew it was Fanconi syndrome yet didn't select the obvious answer because it said "follow up examination 1 week after diagnosis". I thought it would already be in treatment... I searched (now) and it says that treatment is basically replenishing was is lost in the urine. So definitely the wording is like wtf to me
+ 2019-06-12T00:56:54Z
submitted by celeste(17), 2019-05-19T05:19:41Z
This sounds like Fanconi syndrome. The proximal tubular epithelial cells have a hard time reabsorbing filtrate, so you'll see a loss of phosphate, amino acids, bicarbonate, and glucose.