USMLE Forum Archives - USMLE Step 2 CK - PULMO
PULMO
conym5 - 03-30-10 21:07
33-year-has complaints of dyspnea, dry cough, chest pain, and tightness of the chest . A chest x-ray showed bilateral hilar lymphadenopathy . There is a violaceous, indurated plaque involving the nasal tip. There are a few tiny button-like papules in the center of the plaque. The most appropriate next step ?
conym5 - 03-30-10 21:07
33-year-has complaints of dyspnea, dry cough, chest pain, and tightness of the chest . A chest x-ray showed bilateral hilar lymphadenopathy . There is a violaceous, indurated plaque involving the nasal tip. There are a few tiny button-like papules in the center of the plaque. The most appropriate next step ?
The correct answer and explanation will be available after you answer.
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#4
Re: PULMO
conym5 - 03-31-10 23:52 ACE and serum calcium levels is the correct answer..
@dana44 : lung biopsy is usually not indicated in suspected sarcodiasis.. CXR , PFT, ACE, calcium levels ll be next step..
#11
Re: PULMO zoah2005 - 04-12-10 14:14 My answer is: d.
looks like sarcoidosis but rash description is kind of weird
#19
Re: PULMO mtniharika - 04-30-10 09:12 My answer is: d.
the most likely diagnosis is sarcoidosis which is commonly associated with elevated calcium levels and hence to be tested
#21
Re: PULMO babbu5508 - 05-20-10 15:24 My answer is: d.
the condition depicts sarcoidosis.Different imaging tests may help diagnose sarcoidosis:
Chest x-ray to see if the lungs are involved or lymph nodes are enlarged,CTscan,lung biopsy...but calcium levels are a must
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