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Quick Scroll A 35 year old male present with fever. he has lost 10 kgs in 07.03.04 (4 years ago) #1
A 35 year old male present with fever. he has lost 10 kgs in 1 year. chast x-ray shows bilateral basal infiltrates he is most likely suffering from
a) P. Carini pneumonia........a????
b) Disseminated cand idiasis
c) Bilateral bron chiectasis
d) Disseminated tuberculosis
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Quick Scroll Re: A 35 year old male present with fever. he has lost 10 kg 09.17.04 (4 years ago) #2
dr_nickash wrote:
A 35 year old male present with fever. he has lost 10 kgs in 1 year. chast x-ray shows bilateral basal infiltrates he is most likely suffering from
a) P. Carini pneumonia........a????
b) Disseminated cand idiasis
c) Bilateral bron chiectasis
d) Disseminated tuberculosis
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Quick Scroll 09.19.04 (4 years ago) #3
IN P.CARNII CXR SHOWS B/L PERIHILAR INTERSTITIAL SHADOWING

y not TB i wll go for DISSEMINATED TB
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Quick Scroll 09.19.04 (4 years ago) #4
its Dessaminated TB.
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Quick Scroll 09.19.04 (4 years ago) #5
i think Disseminated Tuberculosis
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Quick Scroll 09.19.04 (4 years ago) #6
THE PT HAS TYPIAL PX OF WT LOSS AND FEVER WHICH GOES MORE SO IN FAVOUR OF TB

SO TOO WILL GO FOR DISSS TB
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Quick Scroll 10.14.04 (3 years ago) #7
i'll go for d)

PCP causes perihilar infiltrates
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Quick Scroll 10.14.04 (3 years ago) #8
I think it is Pneumocystis Carinii Pneumonia (PCP).

Harrison says: Recurrent fever, night sweats, thrush,and unexplained wight loss are ass. with an increased incidence of PCP. Common findings on CXR are faint bilateral interstitial infiltrates.
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Quick Scroll 08.13.05 (3 years ago) #9
why not bilateral bronchiectasis?
basal b/l infiltration -first consider bronchiectasis unless pt immunocompromised to have basal or atypical tb.
sputm expectoration history would be very valuble.
given this truncated history ,i would vote for C.
HRCT AND SPUTUM for AFB should be done in practice leave alone answering this mcq!
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