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Old 03-12-2013
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Lungs Needle Tracks and Pulmonary Pathology

A 25-year-old man comes to the emergency department because of a productive cough, fever, night sweats, shortness of breath, malaise, weight loss, and poor appetite that have progressively worsened over the past 3 weeks. He has worked in construction in the USA since emigrating from Thailand 1 year ago. His temperature is 38.3oC (101oF) and respirations are 30/min. He appears emaciated and has prominent needle tracks on his forearms. Which of the following is the most likely diagnosis?

A) Acute respiratory distress syndrome
B) Atypical viral pneumonia
C) Disseminated tuberculosis
D) Hypersensitivity pneumonitis
E) Metastatic carcinoma of the lung
F) Mycoplasmal pneumonia
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  #2  
Old 03-12-2013
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inclined to pick C.


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Old 03-12-2013
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I think C as well.
Patient prolly has HIV/AIDS from IV drug use, decreased immunity leads to reactivation of tb?
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Old 03-12-2013
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I think ans is C cuz he has needle marks so high risk of HIV n then he also has a h/o emigration from Thailand ... Again risk of HIV... And also TB... N d word "emaciated" goes more in favour of TB... Correct me if m wrong..
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Microbiology-, Pathology-, Respiratory-, Step-1-Questions

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