A 53-year-old man has had constant dull pain in his lower right back for the past 4 months. On physical examination there is tenderness on percussion of his right costovertebral angle. An abdominal CT scan reveals a 6 cm mass in the upper pole of the right kidney. A CBC shows: Hgb 21.3 g/dL, Hct 64.0%, MCV 96 fL, platelet count 199,000/microliter, and WBC count 8230/microliter. Serum chemistries include glucose 77 mg/dL, urea nitrogen 17 mg/dL, and creatinine 1.1 mg/dL. Which of the following is the most likely cause for his findings? A Polycythemia rubra vera B Erythroleukemia C Hemophilia A D Diabetes insipidus E Increased erythropoietin

1 Like

LikeAnswersShare

E. Patient has RCC, with erythropoietin secretion

that's correct
0

Answer E. He has polycythemia. Paraneoplastic manifestation of RCC due to increased EPO secretion.

E rcc with erythropoeitin secretion

E. increased erythropoietin

Answer is E. Possibly due to RCC, Pt developed Paraneoplastic Polycythemia. its due to increased EPO secretion.

Increased erythropoietin

Load more answers

Cases that would interest you