Q:

A 40yo woman presented with generalized itching and tiredness for few months. She gave a hx of heavy menstrual periods. Exam: pallor. What is the single most likely causative factor?

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A 40yo woman presented with generalized itching and tiredness for few months. She gave a hx of heavy menstrual periods. Exam: pallor. What is the single most likely causative factor? 


  1. IDA
  2. Lichen planus
  3. Dermatitis herpitiformis
  4. Eczema
  5. Uremia

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The key is A. IDA. [IDA is one of the causes of generalized pruritus. Heavy periods, pallor and tiredness further supports the diagnosis]. 

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