drk1980
Forum Guru
Topics: 147
Posts: 1,038
|
For the past 5 months, a 51-year-old woman has noted increased swelling of her lower legs as the day progresses. She has no fever and no cough. On physical examination, she has pitting edema to the knees. A chest radiograph reveals bilateral pleural effusions, and the right heart border is prominent. Laboratory studies show a serum AST of 238 U/L, ALT 263 U/L, LDH 710 U/L, and CK 127 U/L. Which of the following underlying disease is most likely to cause these findings?
A Goodpasture syndrome
B Recurrent thromboembolism
C Renovascular hypertension
D Bronchial asthma
E Rheumatoid arthritis
|
| Doc2378
Forum Guru
Topics: 46
Posts: 688
|
is it C?
___________________
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
|
| skyhigh
Forum Guru
Topics: 105
Posts: 561
|
E?
|
| robin082006
Forum Hero
Topics: 471
Posts: 5,123
|
I go with E
___________________
The Key to Succeed is Patience.
|
| drk1980
Forum Guru
Topics: 147
Posts: 1,038
|
its not renovascular HTN or Rheumatoid arthritis....thr weren't any signs pointing towards tht if u look back.
|
| Geroo
Forum Guru
Topics: 114
Posts: 799
|
is it goodpasure?
|
| sturge_weber
Forum Guru
Topics: 77
Posts: 1,042
|
hey drk could u please tell n lab values for all
and then i wanna give it a try
|
| drk1980
Forum Guru
Topics: 147
Posts: 1,038
|
Alanine aminotransferase (ALT), serum male 10 - 55 U/L female 7 - 30 U/L
Aspartate aminotransferase (AST), serum 14 - 59 U/L
Lactic dehydrogenase (LDH), serum 300 - 600 U/L
Creatine kinase (CK), serum female 20 - 180 U/L male 20 - 200 U/L
|
| sturge_weber
Forum Guru
Topics: 77
Posts: 1,042
|
is it b
|
| drk1980
Forum Guru
Topics: 147
Posts: 1,038
|
yup it is. how did u decide?
|
| skyhigh
Forum Guru
Topics: 105
Posts: 561
|
is it due to a right heart failure?
Edited by skyhigh on 01/24/06 - 05:43 PM
|
| ed222
Forum Senior
Topics: 4
Posts: 147
|
the clue was the x-ray with prominent right border leading us to think of pulmonary hypertension with consequent edema and recurrent thromboembolism. It was a good question
|
| docarchana
Forum Guru
Topics: 70
Posts: 515
|
can someone explain how B is the ans?
|
| MD_toronto
Forum Junior
Topics: 2
Posts: 27
|
Ans B. thromboembolism: right side heart hypertropy(radiograph). result in right side failure and hepatic failure resulting in high ALT and ASt values. also, right side failure is assocaited w/ pitting edema another clue. also, high LDH sign of HF.
A. Cant be possible because than she will have pnuemonitis w/ HEMOPTYSIS(hallmark). But she does not have cough. Also, rule out good pasture because GFR is normal. normal range of creatinine.
Asthma can't be right than they should give you some value about lung volume and i don't think asthma anything to do w/ lung effusion.
E. doesn't make sense at all. rhuematoid arthritis and lung effusion or right side hypertrophy don't go togather.
hope make sense
|
| Leopard
Forum Guru
Topics: 30
Posts: 401
|
It is one of those questions which are diplayed just for filling purposes otherwise these are substandard and lacking important information .
Best of luck
___________________
FA is just a good revision book.It is not a "real" learning tool.
|
|
| |
| | | | | | | | | | | | | | | |
Similar forum topics