new_n_lost
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A 26-year-old man with a history of alcohol and drug abuse was admitted with a 14 day history of fever, cough and fatigue. He was emaciated. His temperature was 39.4°C. Cervical and axillary lymphadenopathy were present. Chest X-ray revealed bilateral areas of pulmonary shadowing.
Which of the following is the most likely diagnosis?
1) Alcoholic cardiomyopathy.
2) Pneumococcal pneumonia.
3) Pneumocystis pneumonia.
4) Pulmonary tuberculosis.
5) Tricuspid endocarditis.
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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| mytime
Kick my butt!
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Most likely 4.
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| new_n_lost
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 Nobody Answers n So many Views Cmon Guys SHOW UR GUTS
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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| salmonella
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2 pneumococcal pneumonia
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| mms
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2
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| me007
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4.
pneumococcal - lobar, why would be bilateral shadowing?
that lymphoadenopathy and drug abuse and emaciation suspisious for AIDS.
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| new_n_lost
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Me007 Which is the Most Common Inf of AIDS from the Abv choices
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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| me007
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pneumocystis.
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| me007
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sorry, q was too high from me 
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| new_n_lost
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Ah Cmon me007 u almost have the answer there
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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| me007
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3
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| mytime
Kick my butt!
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Most likely mislead me.....but of course it's not right coz that sud be lobar  presentation......what they are talking of is intestitial infiltrates by P.carnii in that AiDs pt. I wish i had trust my first ans more......... All the ones i changed are wrong!
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| new_n_lost
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buddy u r not alone i did the same mistake overlooked the AIDS part as it wasnt clearly mentioned
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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| mytime
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I didn't overlook it ,used the logic that pneumonia is still most likely! Which is true but for the CXR descpt. hence, more annoying.
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| new_n_lost
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Pneumocystis carinii is the most common opportunistic infection in AIDS. This patient is at risk of HIV with the history of drug abuse. Persistent generalised lymphadenopathy may develop in HIV before the patient fulfils the criteria of AIDS. As the disease progress, there is atrophy of the lymph nodes. Less likely is pulmonary tuberculosis which can also cause any abnormality on CXR, and involve peripheral lymph nodes. The others are unlikely to cause lymphadenopathy.
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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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