Внутренние болезни

Ankylosing spondylitis is an inflammatory disease that usually affects:

Which of the following is not found in

pheochromocytoma ?

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A 32-year-old Indian male presented to the outpatient department with complaints of 2-3 episodes of vomiting and pain in abdomen, following excessive binge drinking, the night before hospitalization. No history of fever, diarrhea, disorientation, breathlessness, loss of consciousness. The patient also complained of generalized weakness, giddiness, apathy, and lethargy since 5-6 days. A history of similar complaints on and off for the past few years, wherein the local doctor treated him on the lines of a psychiatric disorder, mainly depressive disorder. Moreover, there is a history of weight loss (about 9 kgs in the last 18 months). On enquiry, history of hyperpigmentation of skin mainly elbows, knees, lips, and oral mucosa over the last 2 years. Furthermore, decreased libido, disturbed sleep habits, mood changes but normal bowel habits. No history of visual disturbances, headaches.What is the most likely dignosis?

 Primary hyperaldosteronism can be diagnosed by all

of the following criteria except:

Which of the following statements about

Pseudohypoprathyroidism is true:

Not seen in Cushing's syndrome:

. A 25 years old female develops serous otitis media

of left ear with cough and occasional hemoptysis and

hematuria and epistaxis for one and half months. Her

Hemoglobin is 7 gm . B . P. > 170 / 100, ptoreinuria + + +,

RA positive [+ ve] and ANCA positive [ + ve], the likely

cause is-