QUESTION: A 36-year-old woman presents to the ED with hemoptysis that began just prior to arrival. She reports generalized fatigue and dark urine over the past 3 months. Her vital signs are within normal limits.  Her laboratory studies are notable for a creatinine of 2.3 mg/dL, 3+ blood on urinalysis and a hemoglobin of 9.8 mg/dL. Which of the following is the most likely etiology of this patient’s symptoms?

A. Churg Strauss syndrome
B. Granulomatosis with Polyangiitis
C. Polyarteritis nodosa
D. Systemic sclerosis




# Mini Board Review: March 2013 EditionDiane Gilliland 2013-03-07 20:37
Thank you for putting together the questions for the mini board review. I find them very helpful!
# Mini Board reviewDr Zahn 2013-03-10 09:37
Good review....but alot of medical info, very specific...not known when you are out for years in practice.
# MDSam Morale 2013-03-11 17:06
Thanks for your effort. Nice to review uncommon diseases to keep us up to speed. It is amazing how many diseases, pathogens etc... have had their names changed : Granulomatosis with Polyangiitis (GPA) (formerly referred to as Wegener’s granulomatosis) .
# Robert Ditrolio 2013-03-12 17:10
Excellent review questions. Please keep them coming in future issues!

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