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Exam questionKROK 2Medicine ยท 2021

A 57-year-old man complains of cough with profuse mucopurulent sputum (up to 150 mL per 24 hours). Objectively, he has drumstick fingers with watch-glass nails. Percussion produces a shortened sound over the lungs. Auscultation detects moderate and large bubbling crackles. Complete blood count shows leukocytosis and a left shift in the leukogram. Chest X-ray shows intensified pulmonary pattern and ring-like shadows. Bronchography detects multiple cylindrical thickenings of the bronchi with clear margins. Make the provisional diagnosis: empyema

Answer options

  1. Pulmonary gangrene
  2. Bronchiectesis
  3. Pulmonary echinococcosis
  4. Pulmonary cyst
  5. Chronic pleural empyema
Correct answer

Bronchiectesis

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