docarchana
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An 80-year-old woman dies shortly after admission to the hospital because of a 3-day history of progressively increasing shortness of breath. She had a history of heart failure. Examination of the lungs during autopsy shows alveolar damage with distended lymphatics, congested alveolar capillaries, and pink-staining homogenous proteinaceous hyaline material in alveoli. Which of the following is the most likely cause of these findings?
A. Amyloidosis
B. Aspiration pneumonitis
C. Emphysema
D. Pneumonia
E. Pulmonary edema
F. Septic shock
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| thinkpositive
Forum Newbie
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b i guess!!
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| elias
Forum Junior
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Pulmonary edemadue to pato findings (eosinetc) plus clinical presentation.
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| docarchana
Forum Guru
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I guess F bcos sepsis & shock r the two most common causes of ARDS.
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| young_doc
Forum Guru
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Sepsis is the most common cause of ARDS.......BUT......ARDS tends to affect the alveoloar-intersitial spaces.
Our patient has congested CAPILLARIES. So i'm going to have to guess Pulmonary edema due to our patient's history of Heart failure.
Anyone else?
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| khorshid
Forum Guru
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Pulmonary edema,(both the path findings and pt's history)
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| fongch
Forum Elite
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How to explain pink-staining homogenous proteinaceous hyaline material in alveoli using pulmonary edema?
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| kashdoc21
Forum Senior
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most common compl after AMI after 2-3 days - LVF - back flow - increase pr in pulm capillaries- leak into the interstitium - pulm edema
ans : pulm edema
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| doc179
Forum Guru
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yes I was, am still not sure whether its pulm.edema , just cos they mention pink proteinaceous substance. but i go for pulm.edema anyway
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| usmle4me
Forum Elite
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How @ pink staining protienaceous hyaline material in pulmonary oedema.Shouldn't we expect heart failure cells-hemosiderin laden macrophages?
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| me007
Forum Guru
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A?
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| ManuNastai
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Nice question.. It's F
it says alveolar damage... which is ARDS, not APE
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| CaliMD
Forum Senior
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why not A?
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| virgola82
Forum Guru
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"pink-staining homogenous proteinaceous hyaline material in alveoli" means exudations of protein NOT trasudation as it would be in pulm edema due to CHF. So Septic shock is the answer for me.
Septic shock -> ARDS
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| virgola82
Forum Guru
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I amyloidosis you dont'have congeated lymphatics and capillaries, at least not that I know...
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