Question

an 78 - year - old female patient presents with anorexia and fatigue. blood work reveals low serum iron and increased tibc. what is your working diagnosis?
a) nephrotic syndrome
b) pancreatitis
c) aaa
d) prostate cancer
e) adenocarcinoma

Explanation:

Adenocarcinoma can present with symptoms like anorexia and fatigue. In adenocarcinoma, there can be chronic inflammation or malignancy - related processes. Low serum iron and increased total iron - binding capacity (TIBC) are not typical for nephrotic syndrome (which has proteinuria, hypoalbuminemia, etc.), pancreatitis (usually has abdominal pain, elevated pancreatic enzymes), AAA (abdominal aortic aneurysm, usually presents with abdominal or back pain, pulsatile mass), or prostate cancer (in a female patient, prostate cancer is not relevant as it occurs in males).

Answer:

e) adenocarcinoma