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Old 11-17-2015
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Default A case of hemoptysis with renal involvement

A 55 year-old man presents to his physician complaining of sinusitis, chest pain and productive cough for 2 weeks. His sputum is mixed with blood. He also has pain and swelling of hands and feet for 3 months. On examination, he has synovitis of proximal interphalangeal joints of both hands. His laboratory tests reveal anemia, elevated ESR, elevated creatinine and positive c-ANCA. Urinalysis shows red blood casts and proteinuria. Chest x-ray shows multiple nodules in both lungs.
What is the most likely diagnosis?
A- Acute glomerulonephritis
B- Miliary tuberculosis
C- Wegener granulomatosis
D- Rheumatoid arthritis
E- Systemic lupus erythematosus
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Old 11-18-2015
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Quote:
Originally Posted by sohag100 View Post
A 55 year-old man presents to his physician complaining of sinusitis, chest pain and productive cough for 2 weeks. His sputum is mixed with blood. He also has pain and swelling of hands and feet for 3 months. On examination, he has synovitis of proximal interphalangeal joints of both hands. His laboratory tests reveal anemia, elevated ESR, elevated creatinine and positive c-ANCA. Urinalysis shows red blood casts and proteinuria. Chest x-ray shows multiple nodules in both lungs.
What is the most likely diagnosis?
A- Acute glomerulonephritis
B- Miliary tuberculosis
C- Wegener granulomatosis
D- Rheumatoid arthritis
E- Systemic lupus erythematosus
Answer
Wegener, but are you making commercials here ?
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