{"ops":[{"insert":"A 56-year-old Caucasian man presents with intermittent nausea, abdominal distension, erectile dysfunction, and arthralgia of the small joints of both hands for 6 months.\n\nHe has been on treatment for diabetes mellitus for 2 years now. Despite good dietary compliance, he displayed a poor response to oral hypoglycemics, but achieved satisfactory control with insulin therapy.\n\nHis family history is significant for diabetes in his mother, at the age of 50. He does not smoke or drink.\n \nA CBC is within normal parameters, with a Hb of 13.5 mg\/dl. A blood film is also normal.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-060_en.png"}},{"insert":"\n"}]}
2
Investigate
Liver Profile + Ultrasound Abdomen
{"ops":[{"insert":"ALT: 86 U\/L (\u003C35)\nAST: 64 U\/L (\u003C35)\nALP: 96 U\/L (40-125)\nTotal Serum Bilirubin: 3.34 mg\/dL (\u003C1)\nThe ultrasound scan reveals mild hepatomegaly, with a normal echotexture. Mild ascites is also present. No other abnormalities are noted.\n"}]}
Iron Studies
{"ops":[{"insert":"Ferritin: 1504 ng\/mL (20-300 in adult males)\nSerum Iron: 163 \u03bcg\/dL (75-180 in adult males)\nTotal Iron Binding Capacity: 170 \u03bcg\/dL (300-400 in adult males)\nTransferrin Saturation: 92% (15- 50)\n"}]}
