(BMJ)—An 84-yo man presented w/ a 5-mo hx of poor oral intake since the death of his wife. He complained of lethargy, dyspnea, epistaxis, and myalgia. Exam: cachexia, purpuric skin lesions over his knuckles, elbows and shins. What is the diagnosis?
Scurvy
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Von Willebrand disease
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Thrombotic thrombocytopenic purpura
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Senile purpura
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Elder abuse
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(BMJ)—A 65-yo Indian man presented w/ throat pain, dysphagia, constipation, and weight loss (<2 kg) over 1.5 mo. Exam: pallor, urticarial rash, epigastric tenderness. Labs: hypochromic, microcytic anemia. Upper endoscopy findings shown. What is the diagnosis?
Crohn disease
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Carcinoid syndrome
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Foreign body ingestion
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Duodenitis
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Mixed worm infestation
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