TIBC (Transferrin) & Ferritin are both acute-phase proteins, so they must be adjusted to the CRP values.

What are acute-phase proteins?

I have a question sir

Can we give them iron infusion instead of oral supplements?

Yupp, bcuz IV will bypass the enterocytes

sister mary joseph nodule
It’s basically hemorrhagic nodule due to distal malignant metastasis via lymphatics.

I literally can't see where the problem is in occulta😂

There’s only a small gap in the spine.
It’s hidden and asymptomatic but later may appear as dimpling on the skin or could be discovered by x-ray.

+ أو مرات تظهر على شكل منطقة بيها شعر أكثر من المناطق المحيطة، أو تكون على شكل fibrofatty mass.

I see

Intussusception which is simply invagination of proximal bowel into distal bowel.

*that arrowed appearance called : doughnut/donut sign.

+ it’s the most common cause of intestinal obstruction in children younger than 2 years.

Saint Vitus' Dance or Sydenham chorea
A neuropsychiatric manifestation of rheumatic fever.

Transurethral Resection of Bladder Tumor (TURBT)

A boy, aged 4 1/2 years, was admitted to the hospital, He had been well until five days prior to admission, when at his normal habit time in the evening he had had a bowel movement which contained a considerable amount of bright red blood. On the following evening he had a large black tarry stool and two days later had several tarry stools. There had been no pain or other associated symptoms. The parents had noted his increasing pallor after the appearance of the tarry stools.
Physical examination revealed a well developed boy of years with pronounced pallor. The remainder of the physical examination was essentially normal. There were no petechial spots. Examination of the abdomen revealed no tenderness or rigidity, and digital rectal examination was negative. Special blood studies showed a decided sec- ondary anemia with 1,990,000 red blood cells and 33 per cent hemoglobin. The white blood count was 9450, and the differential count was normal. The icteric index, platelet count, bleeding, and clotting times were normal. Proctoscopic examination for 12 cm. revealed normal findings. However, the stool coming from above was tarry black.