Pulmonary Q

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Pulmonary Q

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6 Posts

bose
Forum Senior

Topics: 33
Posts: 162

05/08/05 - 03:53 PM

A 30 year old African American woman presents for a routine checkup. Her primary care physician orders a CXR which reveals bilateral hilar lymphadenopathy. What next?

a) CT Chest

b) Biopsy of the lesion

c) Oral Steroids

d) Eye exam

e) Check for metastasis

f) Refer to a pulmonologist

g) Bronchoscopy

icecool
Forum Senior

Topics: 22
Posts: 113

05/08/05 - 04:38 PM

dev
Forum Guru
avatar

Topics: 70
Posts: 1,794

05/08/05 - 09:04 PM

b-biopsy of lesion

merrk
Forum Elite

Topics: 27
Posts: 280

05/09/05 - 08:59 AM

b

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bose
Forum Senior

Topics: 33
Posts: 162

05/09/05 - 11:15 AM

Answer is D - Eye exam. This is clearly Sarcoidosis. The one thing that has to be excluded is Uveitis, so Eye exam is the correct answer. Biopsy has to be done ofcourse for confirmatory diagnosis. I chose B - biopsy and got it wrong.

ayeshah_l
Forum Elite

Topics: 29
Posts: 284

05/10/05 - 09:41 AM

its confusing. First we have to confirm a diagnosis ..... biopsy..... then we have to look for or prevent the complications. Besides in sarcoidosis eye changes occur late!!!!

I still feel the ans should be biopsy, because first confirm the diagnosis.

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