nbme20/Block 4/Question#13
A 62-year-old woman comes to the physician because ...
Bronchogenic carcinoma
luke.10
why not systemic scleroderma since i did this question wrong and i chose systemic sclerosis scleroderma , can someone explain that ?
+1 2019-06-06T22:40:17Z
kernicterusthefrog
My best guess answer to that @luke.10 is that:
a) there's no mention of any skin involvement (which there would be in order to be scleroderma)
b) Scleroderma shows pitting in the nails, not clubbing
c) There would be collagen deposition with fibrosis, not hypertrophy of the bone at joints
Saying that, I also got this wrong! (but put RA...) so I'm not claiming to "get this" Hope my thought process helps, though!
+1 2019-06-08T18:29:40Z
yotsubato
This is in FA 2019 page 229
+1 2019-06-10T12:52:16Z
submitted by xxabi(40), 2019-05-29T04:20:53Z
Bronchogenic carcinoma = lung cancer
That being said, lung adenocarcinoma specifically is associated with hypertrophic osteoarthropathy, which is a paraneoplastic syndrome characterized by digital clubbing, arthralgia, joint effusions, and periostosis of tubular bones