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Retired NBME 23 Answers

nbme23/Block 1/Question#24 (reveal difficulty score)
A 39-year-old man comes to the physician ...
Ferritin ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: endocrine

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 +11  upvote downvote
submitted by โˆ—welpdedelp(270)
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Hemochromatosis, aka "bronze diabetes". Cannot be Addison due to the hyperglycemia and normal BP

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alexb  I missed this bc didn't notice it was a middle-aged guy w/ just 3 year hx of Type 1 DM. +2
tinydoc  I got it mixed up with primary adrenal insufficiency and the acth โ‡’ hyperpigmentation. +18
maddy1994  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 +3
krewfoo99  Symptoms of Darkening of skin, liver dysfunction, diabetes, with testicular atrophy will always be hemochromatosis +5
freemanpeng  After I picked out the right answer. I thought that"dx of DM 1 3yrs ago" may be made by a stupid physician. +



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