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Quick Scroll 45 yrs women smoker on steroids for 05.07.08 (4 months ago) #1

45 yrs women smoker on steroids for Rheumatoid athritis presents with caugh hemptysis and periphiar lung nodules on chest x- ray best way for dig

1- tomography
2-CT chest
3-TB skin test
4- PFT
5-bronchoscopy
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Quick Scroll 05.07.08 (4 months ago) #2

2-CT chest ?
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Quick Scroll 05.07.08 (4 months ago) #3

I think 5) because I suspect Cancer and I need histologic conformation
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Quick Scroll 05.07.08 (4 months ago) #4

bronchoscopy dont we do for centeral nodules????
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Quick Scroll 05.07.08 (4 months ago) #5

3-TB skin test

In fact, this was repeated question I saw it in other exam. From the history was given in this question lady was on steriod so will her immunity will be depress and because of that will get tuberculosis so we need to do skin test first if postive proceed to higher test.
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Quick Scroll 05.07.08 (4 months ago) #6

We are suspecting Carcinoma and for diagnosis(which is the question) we will do the CT scan of chest.
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Quick Scroll 05.07.08 (4 months ago) #7

TB skin test
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Quick Scroll 05.07.08 (4 months ago) #8

The incidence of TB has been increasing in the United States secondary to homelessness, drug abuse, and human immunodeficiency virus infection.
And this patient is not among them.
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Quick Scroll 05.07.08 (4 months ago) #9

I was reading on the emedicine website that best step to diagnose cancer in histological conformation. Are you guys sure about CT?
About TB, I will look at this, I had suspicion but I am not sure.
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Quick Scroll 05.07.08 (4 months ago) #10

bronchoscopy
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