| Author | 3 Posts |
dr_jojo
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45. A 20-month-old girl is brought to the physician because of fever and cough for 2 days. She has had several similar episodes since the age of 4 months. Three months ago, she and her family visited her grandmother in Finland for 2 weeks. She is at the 25th percentile for length and 5th percentile for weight. She appears thin and pale. Her temperature is 38 C (100.4 F), pulse is 150/min, and respirations are 40/min. Examination shows mild clubbing. Wheezing and bilateral crackles are heard at the lung bases. An x-ray film of the chest shows streaky densities bilaterally with mild hyperinflation. CF
46. A previously healthy 16-year-old boy is brought to the physician because of fever and cough with right-sided chest pain for 2 weeks. Six months ago, he visited his grandparents in Albania for 2 weeks. He weighs 54 kg (120 lb) and is 173 cm (68 in) tall. He appears thin and pale. His temperature is 38.2 C (100.8 F), pulse is 76/min, and respirations are 36/min. Examination shows shallow respirations with decreased breath sounds at the right lung base. An x-ray film of the chest shows a right pleural effusion and hilar adenopathy.
A
) α1-Antitrypsin deficiency
B
) Cystic fibrosis
C
) Pneumothorax
D
) Pulmonary alveolar proteinosis
E
) Pulmonary aspergillosis
F
) Pulmonary hemorrhage
G
) Pulmonary tuberculosis
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| robin082006
Forum Hero
Topics: 471
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45 B
46 G
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| dr in trouble
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45--cystic fibrosis
45--pulmonary TB --hilar adenopathy cannot b caused by other choices.
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