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27 y/o african american female patient works in the NASA space industry in the technology subunit. She complains of shortness of breath and cough. Pathological findings include non-caseating granulomas in the lung, hilar lymph nodes. Diagnosis and why?
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sarcoidosis
as non caseating granuloma and hilar lymphadenopathy suggest
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berylliosis seen in ppl who work in aerospace, similar to sarcoidosis so makes for a good knee jerk question
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sacoidoses
non-caseating granulomas, hilar lymphadenopathy, common in black females...
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beryliosis aerospace industry and minors major dd with sarcoidosis but most questions like this have a vignette that willl describe the persons occupation ie nasa or they will talk about normal AA female coming with compaints of dyspnea cough lab have elevated ace and hypercalcemia.
what s up zen how is studying going today????
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zen pnuem would be a miner that has a black lung with rheumatoid arthritis remember caplan syndrome. pt would have carbon in macrophages.
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Answer is berylliosis.
both sarcodosis and berlliosis cause non caseating, hilar, and inc vit d.
Key words are nasa. High tech.
One of the knee jerk questions