hope4dabest
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A 45-year-old man presents to his physician with hematuria.
Renal biopsy demonstrates a focal necrotizing glomerulitis with
crescent formation. The patient has a history of intermittent
hemoptysis and intermittent chest pain of moderate intensity.
A previous chest x-ray had demonstrated multiple opacities,
some of which were cavitated. The patient also has chronic
cold-like nasal symptoms. Which of the following is the most
likely diagnosis?
A. Aspergillosis
B. Polyarteritis nodosa
C. Renal carcinoma metastatic to the lung
D. Tuberculosis
E. Wegener's granulomatosis
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| yoga
usmlelogy professor
Topics: 73
Posts: 635
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d?
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| hope4dabest
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think again..
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| new_n_lost
Politically InCorrect
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B. Polyarteritis nodosa
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| yoga
usmlelogy professor
Topics: 73
Posts: 635
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explanation plz
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| new_n_lost
Politically InCorrect
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Ok Huge Mistake i have made here Just remembered that PAN spares the Pulmonary Arteries ITs definitely Wegener's Granulomatosis.
Damn this is was the classical representaion of Wegener's and i botched it. I hope i dont make this mistake again in the Exm.
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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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| yoga
usmlelogy professor
Topics: 73
Posts: 635
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so it is wegener
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we are all in the gutter but some of us looking at the stars
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| tompat
Forum Elite
Topics: 36
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E
given the age i was thinking about A D OR E
no A as there is cresent formation or D also
so i m going for E
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| tompat
Forum Elite
Topics: 36
Posts: 312
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also the cold like nasal symptoms
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| hope4dabest
Forum Elite
Topics: 16
Posts: 433
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its E..plz y the heck abt age and stuff...kidney+lungs+SINUSITUS=wegners
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