druas
Forum Elite
Topics: 47
Posts: 339
|
A 49 year old diabetic male has had chest pain,which he describes as "sharp"over past 2 days.A friction rub and pulsus paradoxus are noted on physical examination.Fine needle aspiration reveals fibrinous exudate.This man,s acute pericarditis is most likely due to. A) Tuberculosis B) pneumococcal infection C) Metastatic tumor D) Viral infection E) Uremia
|
| ssrpk
Forum Fanatic
Topics: 154
Posts: 2,819
|
i'll go with D) Viral infection
___________________
life is guud
|
| Doc2378
Forum Guru
Topics: 46
Posts: 688
|
I'll go with E) Uremia
DM->CRF-> Uremia->pericarditis, pericardial effusions and uremic suppression of myocardial contractility
Well??
___________________
Courage does not always ROAR. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow" - Mary Anne Radmacher
|
| ssrpk
Forum Fanatic
Topics: 154
Posts: 2,819
|
true, ueramia does so, but it won't have an acute onset, would it?
___________________
life is guud
|
| Doc2378
Forum Guru
Topics: 46
Posts: 688
|
Hmmm..Good point ssrpk!
In DM patients with ESRD, cardiovascular disease, which is followed by sepsis and cerebrovascular disease, is the primary cause of death.
Anyone else wants to weigh in on this?
___________________
Courage does not always ROAR. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow" - Mary Anne Radmacher
|
| gotu
Forum Newbie
Topics: 0
Posts: 6
|
will also go wth E..........if it ws viral the pt shuld show some signs of viral inf like fever.....
just my thnking...
|
| druas
Forum Elite
Topics: 47
Posts: 339
|
Ans..E) Uremia (due to renal failure) can cause fibrinous exudate whereas viral infection leads to serous exudate.Tumors lead to hemorrhagic exudate .TB and bacterial infections causes purulent ,suppurative or hemorrhagic exudate..
|
| Doc2378
Forum Guru
Topics: 46
Posts: 688
|
Good one druas!...now we know
___________________
Courage does not always ROAR. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow" - Mary Anne Radmacher
|
| ssrpk
Forum Fanatic
Topics: 154
Posts: 2,819
|
good work, druas
___________________
life is guud
|
| druas
Forum Elite
Topics: 47
Posts: 339
|
Thanks everyone
|
|
| |
| | | | | | | | | | |
