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Old 06-21-2011
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Lungs Chronic cough and tram track appearance in X ray

A 70 yr old female came with chief complaint of cough productive of sputum since 6 yrs, sometimes it becomes purulent which requires antibiotic treatment. she denies smoking and has worked as a teacher all her life. she states that she had several episode of pneumonia since childhood which require hosp admissions. on exm lung is clear and chest x ray shows tram-track marking at base. likely diagnosis?
A. asthma
B. cystic fibrosis
C. emphysema
D. bronchiectasis
E. chr bronchitis
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Old 06-21-2011
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i think d..not asthma , not cysti fibrosis(too old
)
i think tram tram marking is characteristic of brochiectasies
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Old 06-21-2011
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Quote:
Originally Posted by MANIAKOS View Post
i think d..not asthma , not cysti fibrosis(too old
)
i think tram tram marking is characteristic of brochiectasies
why not cystic fibrosis induced bronchiactasis...since she has recurrent resp tract inf since childhood??
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Originally Posted by confident View Post
why not cystic fibrosis induced bronchiactasis...since she has recurrent resp tract inf since childhood??
she is 70years old, too old for cf.. i thnk life expectancy is 30 years for people with cf...and even if she was younger other symtoms should be present..e.g gastrointestinal
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Old 06-21-2011
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yes answer is d...
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