USMLE Forum Archives - USMLE Step 3 - pulmo
pulmo
conym5 - 08-12-09 01:50
A 59-year-old man with a past history of smoking for 30 years (he
stopped 3 years ago, prior to cardiac bypass surgery) is admitted with
cough and mild hemoptysis. He is afebrile with no shortness on breath.
Physical exam is negative except that the lung exam reveals rhonchi in the
left upper lung zone. The finding/abnormality most likely to occur with the
lesion seen on the CXR in Fig. 9 is
conym5 - 08-12-09 01:50
A 59-year-old man with a past history of smoking for 30 years (he
stopped 3 years ago, prior to cardiac bypass surgery) is admitted with
cough and mild hemoptysis. He is afebrile with no shortness on breath.
Physical exam is negative except that the lung exam reveals rhonchi in the
left upper lung zone. The finding/abnormality most likely to occur with the
lesion seen on the CXR in Fig. 9 is
The correct answer and explanation will be available after you answer.
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#7
Re: pulmo
conym5 - 08-14-09 15:20 This CXR is consistent with a bronchogenic carcinoma
and is likely to be associated with hypercalcemia if this is small cell
or squamous cell carcinoma. The clinical findings are not consistent with
fungal disease or thromboembolism. The chest x-ray in fungal infection is
usually multi-segmental, and pulmonary embolism tends to cause patchy
infiltrates with pleural effusion. Koilonychia is spoon-shaped nails seen in
severe iron-deficiency anemia.
#22
Re: pulmo babbu5508 - 07-28-10 05:35 My answer is: a.
past history of smoking for 30 years (he stopped 3 years ago, prior to cardiac bypass surgery) is admitted with
cough and mild hemoptysis.
#24
Re: pulmo babbu5508 - 08-31-10 13:24 the patient likely has bronchogenic carcinoma and resulting hypercalcemia as a paraneoplastic syndrome....most likely answer
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