a 27 years old man with dyspnea
DESCRIPTION
A 27 years old man with dyspnea. CC: Dyspnea (ATS G IV) PI: previous healthy, Mild dyspnea, fatigue, general weakness, cough, 2 weeks ago, recently aggrevated. FHx: His mother died (leukemia, 26 years ago), TB(+) Smoking(+), Alcohol(+) - PowerPoint PPT PresentationTRANSCRIPT
A 27 years old man with dyspnea
• CC: Dyspnea (ATS G IV)• PI: previous healthy,
– Mild dyspnea, fatigue, general weakness, cough, 2 weeks ago, recently aggrevated.
• FHx: His mother died (leukemia, 26 years ago), TB(+)
• Smoking(+), Alcohol(+)• Occupathion Hx: PC 방 , 호프집 아르바이트 ,
미용재료 납품 , 최근 영업직으로 전환 .
Multiple small rounded nodules scattered through both lungs.
Multiple small rounded nodules with ground-glass opacities
Transbronchial lung biopsy: Multiple small granulomas
Transbronchial lung biopsy: Multiple small granulomas
Transbronchial lung biopsy: A granuloma with central caseating necrosis (arrow)
AFB stain