Hypercalcemia + Hilar lymphadenopathy - USMLE Forums
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USMLE Step 1 Classic Clues Classic clues seen in clinical case scenarios in USMLE Step 1 questions.

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Old 01-14-2010
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X Ray Hypercalcemia + Hilar lymphadenopathy

Although in clinical practice we tend to put sarcoidosis on the bottom of the list, in USMLE you should highly suspicious of this diagnosis.
Classically, they'll say
Middle aged person presented with chronic dry cough, plus some abnormal central CXR finding (hilar lymphadenopathy) and perhaps they give you an elevated level of Calcium in the blood.
Such a scenario should immediately makes you think of sarcoidosis and then the question can about the following:
  • Non caseating granuloma
  • Use of steroids in the treatment
  • Mikulicz syndrome
  • Elevated ACE levels
  • Schaumann bodies and Asteroid bodies
Also see this thread

Last edited by rasheed; 03-16-2010 at 11:08 PM.
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Posted By For Type Date
Untitled document This thread Refback 04-26-2014 07:42 AM
Hilar Lymphadenopathy Conversations This thread Refback 07-12-2010 02:26 PM
Hilar Lymphadenopathy Overview - References, Advice, News, Videos, Coping & Support This thread Refback 04-30-2010 01:21 AM
Hilar Lymphadenopathy on RightHealth This thread Refback 01-20-2010 10:41 AM

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