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Case Study 58

Discussion in 'Case Studies' started by aida mak, Nov 17, 2015.

  1. aida mak

    aida mak Bronze Member

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    A 55 year-old man presents to his physician complaining of sinusitis, chest pain and productive cough for 2 weeks. His sputum is mixed with blood. He also has pain and swelling of hands and feet for 3 months. On examination, he has synovitis of proximal interphalangeal joints of both hands. His laboratory tests reveal anemia, elevated ESR, elevated creatinine and positive c-ANCA. Urinalysis shows red blood casts and proteinuria. Chest x-ray shows multiple nodules in both lungs.
    What is the most likely diagnosis?
    A- Acute glomerulonephritis
    B- Miliary tuberculosis
    C- Wegener granulomatosis
    D- Rheumatoid arthritis
    E- systemic lupus erythematosus
    Answer
     

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    Last edited: Sep 3, 2016

  2. Heyfort kasakula

    Heyfort kasakula Famous Member

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  3. dr.omarislam

    dr.omarislam Golden Member

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    thanks for posting in our forum sure soon we will participate with answering ue case study.. :)
     

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