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IM: most likely diagnosis?
meduploader - 05-27-09 15:41

A 21-year-old woman presents to the emergency department complaining of severe abdominal pain,
which she has been experiencing for 2 days. The pain is epigastric and is accompanied by nausea and
vomiting. Her medications include isotretinoin and oral contraceptives. She is sexually active and says
she is using condoms in addition to oral contraceptives. On physical examination, the patient has moderately
severe acne on her face and chest, and she has cheilitis. Her abdominal examination is remarkable
for tenderness in the epigastric area and decreased bowel sounds.
Of the following, which one is the most likely diagnosis?

The correct answer and explanation will be available after you answer.

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Re: IM: most likely diagnosis?
zkadhem - 05-27-09 16:47

My answer is: d.

Re: IM: most likely diagnosis?
bingousmle - 05-27-09 16:59

My answer is: d.

Re: IM: most likely diagnosis?
usmlefever3 - 05-28-09 04:05

My answer is: d.

Re: IM: most likely diagnosis?
shahprasun - 05-28-09 12:00

My answer is: c.

Re: IM: most likely diagnosis?
sackatdoc - 05-28-09 22:05

My answer is: d.

Re: IM: most likely diagnosis?
harry206 - 05-29-09 03:06

My answer is: d.

Re: IM: most likely diagnosis?
hwhlaing - 05-29-09 10:52

My answer is: a.

Re: IM: most likely diagnosis?
manilaboy - 05-29-09 12:45

My answer is: b.

Re: IM: most likely diagnosis?
nosheen - 05-29-09 19:12

My answer is: c.

#10

Re: IM: most likely diagnosis?
maski100 - 05-29-09 23:02

My answer is: d.

#11

Re: IM: most likely diagnosis?
molouk - 05-31-09 03:34

My answer is: d.

#12

Re: IM: most likely diagnosis?
meduploader - 05-31-09 13:33

My answer is: d.

#13

Re: IM: most likely diagnosis?
zorawar - 06-02-09 06:40

My answer is: d.

#14

Re: IM: most likely diagnosis?
conym5 - 06-17-09 03:46

My answer is: d.

#15

Re: IM: most likely diagnosis?
drbipinsingh - 06-17-09 06:55

My answer is: d.

#16

Re: IM: most likely diagnosis?
mtniharika - 09-19-09 11:07

My answer is: d.

#17

Re: IM: most likely diagnosis?
vphillips - 10-05-09 07:35

My answer is: d.

#18

Re: IM: most likely diagnosis?
docraj - 10-05-09 12:18

My answer is: e.

#19

Re: IM: most likely diagnosis?
lakreol - 10-05-09 13:41

My answer is: d.

#20

Re: IM: most likely diagnosis?
usmle007 - 10-06-09 16:41

My answer is: d.

#21

Re: IM: most likely diagnosis?
drtomusa - 10-08-09 22:55

My answer is: b.

#22

Re: IM: most likely diagnosis?
ysemak - 11-02-09 08:23

My answer is: d.

#23

Re: IM: most likely diagnosis?
lisjan - 11-05-09 20:38

My answer is: e.

#24

Re: IM: most likely diagnosis?
1811166 - 01-15-10 22:27

My answer is: d.

#25

Re: IM: most likely diagnosis?
stanikzai - 01-16-10 05:15

My answer is: d.

#26

Re: IM: most likely diagnosis?
haward - 01-16-10 14:04

My answer is: d.

#27

Re: IM: most likely diagnosis?
oldman - 01-19-10 09:49

My answer is: d.

#28

Re: IM: most likely diagnosis?
reksarma - 01-26-10 13:40

My answer is: d.

#29

Re: IM: most likely diagnosis?
chike66 - 02-05-10 02:13

My answer is: e.

#30

Re: IM: most likely diagnosis?
yobana - 02-08-10 21:03

My answer is: d.

#31

Re: IM: most likely diagnosis?
gogogomle08 - 02-13-10 16:51

My answer is: d.

#32

Re: IM: most likely diagnosis?
fas148 - 02-14-10 09:02

My answer is: d.

#33

Re: IM: most likely diagnosis?
leminesow - 02-14-10 09:09

My answer is: a.

#34

Re: IM: most likely diagnosis?
dmg5657 - 02-14-10 16:21

My answer is: b.

#35

Re: IM: most likely diagnosis?
drsmichaels - 02-16-10 16:34

My answer is: d.

#36

Re: IM: most likely diagnosis?
meiruu - 02-16-10 17:57

My answer is: d.

#37

Re: IM: most likely diagnosis?
freedom - 02-16-10 21:35

My answer is: d.

#38

Re: IM: most likely diagnosis?
shahra - 02-26-10 05:43

My answer is: d.

#39

Re: IM: most likely diagnosis?
katamoto - 03-24-10 09:43

My answer is: d.

#40

Re: IM: most likely diagnosis?
conym5 - 04-14-10 13:28

Isotretinoin use is associated with important side effects. Some of the reported side effects are cheilitis, dryness of mucous membranes and skin, myalgias, pseudotumor cerebri, and hypercholesterolemia.

#41

Re: IM: most likely diagnosis?
ckstep2 - 04-14-10 15:28

My answer is: d.

#42

Re: IM: most likely diagnosis?
shawshank - 04-14-10 20:26

My answer is: d.

#43

Re: IM: most likely diagnosis?
mangofran - 04-14-10 23:13

My answer is: d.

#44

Re: IM: most likely diagnosis?
navid1352 - 04-15-10 01:14

My answer is: b.

#45

Re: IM: most likely diagnosis?
bmnnbm - 08-04-10 15:06

My answer is: c.

#46

Re: IM: most likely diagnosis?
bobby - 08-16-10 15:16

My answer is: d.

#47

Re: IM: most likely diagnosis?
shumayla - 08-17-10 09:25

My answer is: d.

#48

Re: IM: most likely diagnosis?
shyamala - 08-17-10 14:26

My answer is: d.

#49

Re: IM: most likely diagnosis?
babbu5508 - 08-31-10 00:39

My answer is: d.

isotretinoin can cause various adverse effects...Increasingly higher dosages will result in higher toxicity, resembling vitamin A toxicity.

#50

Re: IM: most likely diagnosis?
fudge15019 - 10-06-10 12:55

My answer is: d.

#51

Re: IM: most likely diagnosis?
dinmenace - 06-21-11 12:12

My answer is: d.

#52

Re: IM: most likely diagnosis?
visionary235 - 07-14-11 08:46

My answer is: d.

#53

Re: IM: most likely diagnosis?
shameer2011 - 09-03-11 03:59

My answer is: d.

#54

Re: IM: most likely diagnosis?
subhanbin - 09-05-11 00:04

My answer is: a.

#55

Re: IM: most likely diagnosis?
medical1212 - 09-05-11 05:38

My answer is: e.

#56

Re: IM: most likely diagnosis?
fazm1977 - 09-06-11 11:11

My answer is: a.

#57

Re: IM: most likely diagnosis?
asra2002 - 09-06-11 16:36

My answer is: d.

#58

Re: IM: most likely diagnosis?
devylky - 09-07-11 10:13

My answer is: b.

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