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Published on Sep 30, 2020
Robbins Review Vignettes

A 19-year-old man suddenly collapses and is brought to the emergency department. His vital signs include temperature of 37.1°C, pulse 84/min, respirations 18/min, and blood pressure 80/40 mm Hg. Laboratory findings include hemoglobin of 13.5 g/dL, platelet count 252,000/mm3, WBC count 7230/mm3, serum glucose 73 mg/dL, and creatinine 1.2 mg/dL. The total creatine kinase (CK) level is elevated, with a CK-MB fraction of 10%. Which of the following underlying conditions is most likely to be present in this patient?

  • Hereditary hemochromatosis
  • Marfan syndrome
  • Down syndrome
  • Familial hypercholesterolemia

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