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Second Aid for the USMLE
NBME Answers & Explanations
NBME 23 Answers
A 39-year-old man comes to the physician because of ...
Hemochromatosis, aka "bronze diabetes". Cannot be Addison due to the hyperglycemia and normal BP
I missed this bc didn't notice it was a middle-aged guy w/ just 3 year hx of Type 1 DM.
I got it mixed up with primary adrenal insufficiency and the acth ⇒ hyperpigmentation.
testicular atrophy &hepatomegaly helped me out to eliminate the options..when i was left with ferritin and saw pigmentation it clicked that it is hemochromatosis
Symptoms of Darkening of skin, liver dysfunction, diabetes, with testicular atrophy will always be hemochromatosis
one does not simply “walk into morder”