Determining the Cause

Chief Cmplaint: Fatigue

a. History: African descent

b. Further History: Dyspnea, nonproductive cough, and chest pain

Differential Diagnosis

Sarcoidosis

 

Next Pivotal Assessment Finding

 

Chest X-Ray

 

Bilateral hilar lymphadenopathy and diffuse reticular densities in the interstitium of the lung      

A 25-year-old African American woman presents with fatigue, dyspnea, nonproductive cough, and chest pain. She does not smoke. A chest radiograph reveals prominent bilateral hilar lymphadenopathy (“potato nodules”) and diffuse reticular densities in the interstitium of the lung. Laboratory studies reveal polyclonal hypergammaglobulinemia, hypercalcemia, and increased serum angiotensin-converting enzyme. Which of the following is the most likely diagnosis?

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    A. ARDS

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    B. Adenocarcinoma of the lung

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    C. Eosinophilic granuloma

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    D. Idiopathic pulmonary fibrosis

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    E. Sarcoidosis

 

Breast Cancer, History of

 

 

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