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| Tags: relapsingpolychondritis |
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ngaybinhyen
Forum Newbie Topics: 23 Posts: 635 |
A 50-year-old man presents to his physician because of pain and swelling around his ears over the past week. The pain has been progressive, and he notes that the swelling began approximately 3 days ago. He does not recall ever having these symptoms before. He denies any change in his diet, recent travel, or new medications. His past medical history is unremarkable, and he takes a multivitamin. He does not smoke, drink alcohol, or use illicit substances. On physical examination, he is afebrile and normotensive. He is saturating 94% on room air. and his heart rate is 77 beats/min. Examination of his ears demonstrates tenderness and swelling over the cartilaginous portions of his ears, with sparing of the noncartilaginous areas. A biopsy of the ear reveals inflammatory cells around the cartilage. Which of the following findings on pulmonary function tests is associated with this man's condition? OA. Decreased diffusion of carbon monoxide O B. Decreased expiratory flow O C. Decreased FEV, /FVC ratio OD. Increased FEV, O E. Reduced vital capacity
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docnit
| Forum Senior Topics: 8 Posts: 189
some condition leading to inflammation the cartilage so should cause inflammation of the lung tissue as well... so may be: A ??
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ngaybinhyen
| Forum Newbie Topics: 23 Posts: 635
  try again ...
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docnit
| Forum Senior Topics: 8 Posts: 189
oh or may be only bronchial cartilage will be involved, no cartilage in lung : so then answer must be...B.....Not A! interesting q!
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ngaybinhyen
| Forum Newbie Topics: 23 Posts: 635
 Good job, broRelapsing polychondritis: rare, long-stading, potentially life-threatening Biopsy confirmation is not required for diagnosis Unknown etiology, immune system is involved Rx: Minor cases: NSAIDs, colchicine, or dapsone Steroid: cornerstone for a majority of patients Major Criteria - Proven inflammatory episodes involving auricular cartilage - nasal cartilage - laryngotracheal cartilage Minor Criteria - Ocular inflammation (conjunctivitis, keratitis, episcleritis, uveitis) - Hearing loss - Vestibular dysfunction - Seronegative inflammatory arthritis ** Dx = 2 majors or 1 major + 2minors
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docnit
| Forum Senior Topics: 8 Posts: 189
Thanks  buti am a female  ...so not a Bro...
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ngaybinhyen
| Forum Newbie Topics: 23 Posts: 635
 Ooopss! Sorry, ma'am lol
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docnit
| Forum Senior Topics: 8 Posts: 189
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kpmle2
| Forum Guru Topics: 95 Posts: 503
Very nice Q . I didnot get the diagnosis for this Q. Thanks for the info ngaybinhyen.
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Mars-Aris
| Forum Elite  Topics: 71 Posts: 259
it is nice chance to review few common causes that cause saddle nose deformity : Sarcoidosis Wegener's Relapsing polychondritis Leprosy
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ngaybinhyen
| Forum Newbie Topics: 23 Posts: 635
You're welcome, kpmle2Thanks Mars-Aris for your extended info
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