DrAlex_76
Forum Guru
Topics: 120
Posts: 410
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A 57 yo white male , c/c = hemoptysis. He states that he had 2 episodes of hemoptysis and denies SOB, chest pain and. Also said that he has been easily fatigued and fever over the past several days. He denies smoking, drinking,. PE shows L side varicocele which fails to empty when the pt lying or re-cumbent. His vitals are normal and his Hb = 16.2, platelet = 480,000. What is the most app next step in management ?
A. CXR
B. Urinalysis
C. Abdominal CT
D. Serum AFP
E. US of testicular
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| ngaybinhyen
Forum Guru
Topics: 23
Posts: 657
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Is it a case of Renal cell adenocarcinoma? if yes, then
- first test: Urinalysis, CBC
- Gold standard: Ct-scan/MRI
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| nightflight1945
banned
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C. Abdominal CT
As our friend said , it is a case of RCC
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| hitesh
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Topics: 64
Posts: 1,087
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I'd go with C. Abdominal CT
It looks like RCC with pulmonary mets...
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13/33
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| GOGETA
Trying to get in PGY1
Topics: 381
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but rcc gives you polycethemia
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As a general rule, the better it felt when you said it, the more trouble it's going to get you into.
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| nightflight1945
banned
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Posts: 920
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Yes polycythemia is seen is 40% of RCCs
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| kpmle2
Forum Guru
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C. Abdominal CT
RCC presents with a triad of dull flank pain, hematuria and fever. But this is seen in more advanced state.
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| DrAlex_76
Forum Guru
Topics: 120
Posts: 410
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answer is C
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| nightflight1945
banned
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Posts: 920
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