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FORO POSTMIR - Academia AMIR :: Ver Tema - Pregunta 43 versión 0 (neumología)
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Pregunta 43 versión 0 (neumología)
http://foropostmir.es/viewtopic.php?f=59&t=9435
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Autor:  Rigoberta Menchu [ Mar Feb 07, 2017 4:13 pm ]
Asunto:  Pregunta 43 versión 0 (neumología)

Mujer de 41 años, sin antecedentes de interés, que presentó hace seis meses disnea de esfuerzo que ha aumentado progresivamente. A la auscultación mostraba crepitantes basales. En la radiografia de tórax se apreciaron densidades basales bilaterales. Se realizó biopsia pulmonar abierta. En el estudio histopatológico se observó una lesión compleja, heterogénea, con áreas alteradas que alternaban con otras preservadas, con fibrosis de los septos alveolares y desarrollo de marcados focos fibroblásticos e hiperplasia neumocitaria tipo 2. La afectación era fundamentalmente subpleural. ¿El diagnóstico de la lesión pulmonar es?

Histiocitosis de células de Langerhans.
Neumonía intersticial usual.
Alveolitis alérgica extrínseca.
Proteinosis alveolar.
Respuesta del ministerio: 2



Hola,

porqué no podría ser la respuesta 4? Como el paciente tiene hiperplasia de neumocitos tipo II, no podría ser que estos hagan más surfactante? Y la histología que describen no podría estar también en esta patología?

Gracias.

Autor:  Juanmi [ Mar Feb 07, 2017 4:39 pm ]
Asunto:  Re: Pregunta 43 versión 0 (neumología)

La proteinosis alveolar tiene una histopatologia distinta a la que se describe.

Una pregunta en la que describen AP sacada directamente de libro de texto no es impugnable. Esta no hay opcion de impugnarla. Sorry

Autor:  Rigoberta Menchu [ Mar Feb 07, 2017 4:52 pm ]
Asunto:  Re: Pregunta 43 versión 0 (neumología)

Gracias!
(me equivoqué al poner el número de la pregunta en la versión 0, por si alguien mira esta pregunta por el foro...es la 34 en la versión 0)

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