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  #1  
Old 02-02-2013
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Lungs Ground Glass Lungs!

A 51-year-old man presenting to the clinic for routine examination mentions that he has not been able to get over the flu. Further questioning clarifies that he has had a nonproductive cough for the past 3–4 months and is unable to sustain his normal walking pace for prolonged periods. He reports feeling more fatigued than he recalls feeling last year. His medical history is significant for hypertension, alcoholism, and obesity. His blood pressure is well controlled on losartan and hydrochlorothiazide. He has no known drug allergies. His mother died of complications of type 2 diabetes mellitus. His father had a fatal myocardial infarction at age 56 years. The patient smokes half a pack of cigarettes per day and has done so for the past 7 years.
He has worked all his adult life as an accountant and has no known exposures to asbestos or organic dusts. His blood pressure is 134/96 mm Hg, heart rate is 78/min, respiratory rate is 16/min, temperature is 37°C (98.6°F), and oxygen saturation is 94% on room air. Lung examination reveals bilateral inspiratory crackles in the lung bases. High resolution CT shows patchy areas of ground glass, reticular abnormalities, and traction bronchiectasis. Laboratory findings are normal except for an elevated erythrocyte sedimentation rate of 54 mm/hr.
What is the recommended treatment for this patient’s cough?
(A) Change the antihypertensive agent
(B) Prescribe amantadine
(C) Prescribe bronchodilators and long-term domiciliary oxygen therapy
(D) Prescribe glucocorticoids
(E) Resect diseased lung fi elds
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The above post was thanked by:
rupesh (02-06-2013)



  #2  
Old 02-02-2013
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(D) Prescribe glucocorticoids
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  #3  
Old 02-03-2013
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Correct Answer idiopathic lung fibrosis

yes its D glucocorticoids as the diagnosis of idiopathic lung fibrosis that presented with dry cough , dysnea ,and ct shows patchy areas of ground glass, reticular abnormalities, and traction bronchiectasis. and on examination lung crackles billateral
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