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  #1  
Old 08-22-2011
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Default Haemoptysis

A 34-year-old migrant worker from Mexico presents to the emergency room with a several-week history of fever, chills and night sweats. He states hes had a sudden loss in weight and easily loses his breath when walking up a flight of stairs. In the emergency room, he begins to cough up blood. On examination, he has tenderness over his back and palpable lymph nodes. A biopsy of his lungs would show a combination of which two types of necrosis?
A. Coagulative and liquefactive
B. Liquefactive and fibrinoid
C. Fat and fibrinoid
D. Liquefactive and gangrenous
E. Coagulative and gangrenous
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Old 08-22-2011
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Default A?

i am thinking option A

Quote:
Originally Posted by ricko335 View Post
A 34-year-old migrant worker from Mexico presents to the emergency room with a several-week history of fever, chills and night sweats. He states hes had a sudden loss in weight and easily loses his breath when walking up a flight of stairs. In the emergency room, he begins to cough up blood. On examination, he has tenderness over his back and palpable lymph nodes. A biopsy of his lungs would show a combination of which two types of necrosis?
A. Coagulative and liquefactive
B. Liquefactive and fibrinoid
C. Fat and fibrinoid
D. Liquefactive and gangrenous
E. Coagulative and gangrenous
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  #3  
Old 08-22-2011
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I think c) fat and fibrinoid

liquefative is spec for brain so a,c,d excluded
coagulative is ischemic necrosis - so excluded
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Old 08-22-2011
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Quote:
Originally Posted by jahn77 View Post
I think c) fat and fibrinoid

liquefative is spec for brain so a,c,d excluded
coagulative is ischemic necrosis - so excluded
i think we can see cogulative necrosis in infections too
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Old 08-22-2011
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Quote:
Originally Posted by jahn77 View Post
I think c) fat and fibrinoid

liquefative is spec for brain so a,c,d excluded
coagulative is ischemic necrosis - so excluded
I really don't think this guy has pancreatitis to believe it would be C)

My answer is A) Caseous fits in perfectly with TB, as well as liquefactive (lungs being a "hollow" organ)
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Old 08-23-2011
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i m thinking a... just a guess
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Old 08-23-2011
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Default A.

Quote:
Originally Posted by ricko335 View Post
A 34-year-old migrant worker from Mexico presents to the emergency room with a several-week history of fever, chills and night sweats. He states hes had a sudden loss in weight and easily loses his breath when walking up a flight of stairs. In the emergency room, he begins to cough up blood. On examination, he has tenderness over his back and palpable lymph nodes. A biopsy of his lungs would show a combination of which two types of necrosis?
A. Coagulative and liquefactive
B. Liquefactive and fibrinoid
C. Fat and fibrinoid
D. Liquefactive and gangrenous
E. Coagulative and gangrenous
A. Coagulative and liquefactive
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Old 08-23-2011
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Its A
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  #9  
Old 08-23-2011
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Arrow D

Quote:
Originally Posted by ricko335 View Post
A 34-year-old migrant worker from Mexico presents to the emergency room with a several-week history of fever, chills and night sweats. He states hes had a sudden loss in weight and easily loses his breath when walking up a flight of stairs. In the emergency room, he begins to cough up blood. On examination, he has tenderness over his back and palpable lymph nodes. A biopsy of his lungs would show a combination of which two types of necrosis?
A. Coagulative and liquefactive
B. Liquefactive and fibrinoid
C. Fat and fibrinoid
D. Liquefactive and gangrenous
E. Coagulative and gangrenous
Good question...
I think the guy has Claudication and infection...
Claudication is due to smoking which also supports lung ca!
I think the ans is D! Liquefactive necrosis support infection and gangerene support claudication
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Old 08-23-2011
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A. Coagulative and Liquefactive
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Old 08-23-2011
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man there are lymph node on the back i guess its c
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Old 08-23-2011
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A 34-year-old migrant worker from Mexico presents to the emergency room with a several-week history of fever, chills and night sweats. He states hes had a sudden loss in weight and easily loses his breath when walking up a flight of stairs. In the emergency room, he begins to cough up blood. On examination, he has tenderness over his back and palpable lymph nodes. A biopsy of his lungs would show a combination of which two types of necrosis?

A. Coagulative and liquefactive
B. Liquefactive and fibrinoid
C. Fat and fibrinoid
D. Liquefactive and gangrenous
E. Coagulative and gangrenous

Definitely TB... Ans-A
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Old 08-24-2011
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The correct answer is A.
The patient described has the clinical symptoms and physical examination of tuberculosis. Caseous necrosis is seen in tuberculous granulomas and shares features of both coagulative and liquefactive necroses.
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  #14  
Old 08-24-2011
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I saw it in webpath lung path section;
Initially messed with lung necrosis due to obstruction.
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