Paciente do sexo masculino, branco, com 50 anos de idade, procurou serviço de pronto-atendimento com quadro de falta de ar há 2 anos com piora progressiva. Sem antecedentes patológicos conhecidos. Ao exame físico estava eupnéico, cianótico, apresentava baqueteamento digital e ausculta pulmonar com estertores finos em ápices pulmonares. Morou em zona rural durante toda a infância e adolescência, trabalhando em lavoura de algodão e milho. Atualmente, trabalha numa pedreira. (Abaixo segue raio X de tórax).
A pergunta que não quer calar:
Qual é a sua hipótese diagnóstica?
Em sete dias disponibilizaremos a resposta, com comentários sobre as alternativas. Assim como uma nova pergunta baseada nesta primeira resposta. E, lembrando, em 15 dias um novo caos, digo, caso clínico para você. Confira!
13 comentários:
Eu ainda não faço medicina entaõ nao sei quase nada dos casos, mas msm assim tento pensar e procurar na internet para aprender. Parabéns, iso aqui é um ótimo passatempo!!
nao tem como nao ser Silicose, o historico de vida do paciente,e evidente a patologia dele...
Histoplasmose Pulmonar Crônica Cavitária? Nada na história nos leva a pensar nisso. Hipocratismo digital -> DPOC -> Me levaria a pensar em HPCC.
Pedreira = Silicose. Contudo, não sei a quanto tempo o paciente é exposto a silica.
RX muito parecido com Silicose, portanto, este é o meu voto.
alguém ai??????
acho a idéia do blog excelente!!!
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