USMLE Forum Archives - USMLE Step 2 CK - pulmonary q
pulmonary q
HIV - 01-09-08 20:32
A patient consults a physician because of chronic nasal congestion and nose bleeds over past 2 yrs. He has tried numerous over the counter medications, but nothing has helped.
He has also felt chronically ill, with low grade fevermalaise and anorexia. Nasal examination demonstrate a friable mucosa with a red, raised granular appearence that bleeds easily.
A small area of nasal septal perforation is seen. Chest X-ray film demonstrates pulmonary infiltrates with associated cavitation n one case.
Which of the following is the most appropriate next step in diagnosis?
A) Abdominal CT scan
B) Liver enzymes
C) Pancreatic enzymes
D) Urine analysis
E) Bladder biopsy.
HIV - 01-09-08 20:32
A patient consults a physician because of chronic nasal congestion and nose bleeds over past 2 yrs. He has tried numerous over the counter medications, but nothing has helped.
He has also felt chronically ill, with low grade fevermalaise and anorexia. Nasal examination demonstrate a friable mucosa with a red, raised granular appearence that bleeds easily.
A small area of nasal septal perforation is seen. Chest X-ray film demonstrates pulmonary infiltrates with associated cavitation n one case.
Which of the following is the most appropriate next step in diagnosis?
A) Abdominal CT scan
B) Liver enzymes
C) Pancreatic enzymes
D) Urine analysis
E) Bladder biopsy.
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#3
Re: pulmonary q InSitu - 01-09-08 23:44 Wegener's granulomatosis: A multisystem disease that, in its classic form, consists of a triad of features: necrotizing granulomatous inflammation of the upper and lower respiratory tracts; glomerulonephritis; and systemic arterial and venous small-vessel vasculitis
Can present in a variety of forms ranging from mild and indolent with nonspecific symptoms to fulminant pulmonary disease with massive alveolar hemorrhage
Answer: D :)
#4
Re: pulmonary q 8401glacieres - 01-11-08 04:13 D- Urine Analysis for albuminuria and micoscopic haematuria.
Usually this is of nephrotic range unless it is complicated by RPGN, which can present with either nephrotic or nephritic.
Most patients with either classic or limited WG present with upper airway or pulmonary involvement. Renal involvement is also common, manifesting as acute renal failure or acute nephritis, sometimes with nephrotic-range proteinuria. Patients may also present with a clinical picture of rapidly progressive glomerulonephritis.
#7
Re: pulmonary q ammulufy - 06-30-10 21:35 I think d condition is pulmonary sarcoidosis.......next common organ to get involved after lung is d liver....derfore I would like to go wid d estimation of liver enzymes....i.e.....B.
#8
Re: pulmonary q bingousmle - 06-30-10 22:01 Wegeners :necrotizing granulomatous inflammation of the upper and lower respiratory tracts; glomerulonephritis; and systemic arterial and venous small-vessel vasculitis
so UA
#11
Re: pulmonary q babbu5508 - 07-07-10 21:39 common findings in wegeners granulomatosis:
Kidney: rapidly progressive glomerulonephritis , leading to chronic renal failure
Upper airway, eye and ear disease:
Nose: pain, stuffiness, nosebleeds, rhinitis, crusting, saddle-nose deformity due to a perforated septum
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