mediocre
Forum Elite
Topics: 37
Posts: 229
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A 30-year-old otherwise healthy woman presents to her physician
with complaints of fatigue and dyspnea. Physical examination reveals
normal breath sounds and the presence of third and fourth heart sounds.
Chest x-ray shows clear lung fields but right ventricular enlargement,
main pulmonary artery enlargement, and "pruning" of the peripheral
vasculature. Electrocardiogram shows right axis deviation and right
ventricular hypertrophy. Left ventricular function appears normal
on echocardiography. Serologic studies show antinuclear antibodies.
Which of the following pathological findings would this patient
also show, either at autopsy or if an appropriate biopsy was taken?
A. Mural thrombus of the right atrium
B. Necrosis and scarring of the left ventricle
C. Plexogenic pulmonary vasculopathy
D. Pulmonary artery stenosis
E. Severe pulmonary fibrosis
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| ssrpk
Forum Fanatic
Topics: 154
Posts: 2,819
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C. Plexogenic pulmonary vasculopathy
seems like primary pulmonary HTN
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| sandra
Forum Guru
Topics: 201
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e?
progressive systemic sclerosis?
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| ManuNastai
Transilvanian..
Topics: 55
Posts: 838
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it's cor pulmonare (right heart failure secondary to a primary lung disease)
I have no idea what 'Plexogenic pulmonary vasculopathy" means, but doesn't sound very well to me; I know this is not the way to put diagnoses but... I'll go with E
I later found out this
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| fox
Forum Guru
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Posts: 727
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It could be c Or E....now in which conditions are ANAs found?
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| proctalgia
Forum Senior
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 What about D.
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| bhallaji
Forum Newbie
Topics: 1
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Manunastai, that was a useful link. i'll go for E.
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