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A 50-year-old African American female – SOB & Fatigue

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Emily Micheal
A 50-year-old African American female – SOB & Fatigue

Question Break Down of the Week:

A 50-year-old African-American woman presents to your office because of shortness of breath and fatigue that has worsened over the past 4 weeks. Over the past week, she has noticed the appearance of subcutaneous nodules on her lower extremities. Physical examination reveals flat, elevated lesions on the lower extremities bilaterally. Chest auscultation shows dry rales with a chest x-ray showing bilateral hilar lymphadenopathy. Lab tests are performed. Which result, although not diagnostic, is most commonly associated with this patient’s condition?

A)  Elevated angiotensin-converting enzyme level
B)  Elevated cardiac enzyme levels
C)  Elevated serum amylase levels
D)  Hypocalcemia
E)  Hypouricemia

 

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Emily Micheal
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