A 23 year old female presented to the emergency department with pallor and hemoptysis.Five days previously ,she was diagnosed as having a viral upper respiratory tract infection by her GP Over the next four days, her cough persisted and she was bringing up blood stained sputum.Her laboratory workup reveals a CBC with a normocytic, normochromic anemia. Her hemoglobin is low, her creatinine is high. Her urinalysis is significant for many red blood cells.Further laboratory studies revealed her anti-basement membrane serology was positive.During a tutorial for medical students, the physician presented this woman’s case. He explained that she had a poor prognosis and eventual death is most likely to occur secondary to a) multiple brain abscesses b) heart failure c) severe anorexia d) renal failure e) end stage cirrhotic liver for correct answer : usmlemcq/q0917/
Posted on: Fri, 19 Sep 2014 12:54:48 +0000
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