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  #1  
Old 06-14-2011
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Question Hemoptysis, Anemia, Consolidation, and Hematuria!

24-year-old white male comes to your office with hemoptysis. A chest film shows bilateral patchy consolidation. He has an iron deficiency anemia, proteinuria, and hematuria.

This presentation is most consistent with

a. Wegener's granulomatosis
b. sarcoidosis
c. Goodpasture's syndrome
d. polyarteritis nodosa
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Old 06-14-2011
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ans is c...
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Old 06-14-2011
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iam confuse bet wegners granuloma and goodpasture syndrom

C- good pasture syndrom(iron anemia -heamptysis -renal -consoldation -

wegner prsent in cavity or unresolving pnemonia or upper and lower RTI
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Old 06-14-2011
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Quote:
Originally Posted by miss patho View Post
iam confuse bet wegners granuloma and goodpasture syndrom

C- good pasture syndrom(iron anemia -heamptysis -renal -consoldation -

wegner prsent in cavity or unresolving pnemonia or upper and lower RTI
in wegner htysis occurs lately and renal involvement is very rare..so ans c
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Old 06-15-2011
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Default Pulmonary-renal syndrome!

This is a case of pulmonary-renal syndrome!

Why not WG or PAN?

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Old 10-09-2011
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Correct Answer Answer

Right Answer: Good pasture's syndrome

Good pasture's syndrome is characterized by pulmonary hemorrhage, glomerulonephritis, and antiglomerular basement membrane antibodies. Hemoptysis, pulmonary alveolar infiltrates, dyspnea and iron deficiency anemia are frequent presenting features. Within days or weeks, the pulmonary findings are generally followed by hematuria, proteinuria, and rapid loss of renal function.
Polyarthritis nodosa may involve the lung. Although pneumonic episodes may be associated with hemoptysis in a small percentage of patients, the chest film is more likely to reveal granulomatosus lesions rather than patchy infiltrates.
Hemoptysis does not generally occur until late in the course of sarcoidosis, and is usually related to Aspergillus infection or cavitation. Renal involvement rarely results in significant proteinuria or hematuria.
With Wagener's granulomatosis, upper respiratory tract symptoms and signs are usually prominent. These include purulent or bloody rhinorrhea, para-nasal sinus pain and drainage, nasal mucosal ulceration, and otitis media with hearing loss. Cough, purulent sputum production, hemoptysis, and pleuretic chest pain are usually associated with upper respiratory symptoms and occasionally precede them. Renal findings occur at some time in the course of most diseases but rarely are the presenting feature.
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Old 10-10-2011
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This Q should give more clues, to help you differentiate between Goodpasture's syndrome & Wegener granulomatosis, based on the above information, this not possible. PAN, can be excluded because it tends to spare the lung.
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I m with C...
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Old 07-21-2013
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patchy consolidation is not present in good pasture syndrome
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Internal-Medicine-, Pulmonology-, Rheumatology-, Step-2-Questions

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