Spot diagnosis for medical students

Larger patchy opacities - calcified pleural plaques? And maybe some diffuse reticulonodular shadowing. Fine inspiratory creps on examination? History of asbestos exposure?

First thought tbh was Wegeners - peri-hilar shadowing is classic, but then it is pretty rare...diagnosis is via ANCA.

*feels apathetic*

Home.
Advised see GP.
Link Letter sent.

Your posts sometimes make me cringe. Please tell me you take more joy in your work @ work.
[rather than that crushing tiredness that hits when you get home and work deemed evil personified]

Last thing the specialty needs is another triage monkey...

Medical students only

THis is an x-ray froma patient of mine today. Incidental finding pre-operatively that led me to get a chest x-ray.
Have a look at this X-ray and describe what you see and give a diagnosis.
Tell me what I might have found on exam and int he history that led me to this.

Fcuk me, I thought they had swallowed a toy axe. Go BARTS!

Thats so 1990. New more accurate test for Wegners. ANCA-PR3.
AS opposed to ANCA-MPO

You don't subscribe to the thought that we should renounce the eponymous title and rename it ANCA positive vasculitis as Mr Wegener was a Nazi then.

I'm a great believer that someone eponymising a sign/disease is a bit of a penis regardless.

*1st medical student enters thread optimistically*

*reads*

*summary of observations = and subsequently *

*leaves thread decides career in health & social care maybe more appropriate*

*1st year student enters thread optimistically*

*reads*

*summary of observations = and subsequently *

*leaves thread decides career in health & social care maybe more appropriate*