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365 pages, Paperback
First published June 11, 2010
11. What classic clues on the Step 2 exam point to the cause of a solitary pulmonary nodule?
-Immigrant: think of tuberculosis; do a skin test or interferon gamma release assay
-Southwest United States exposure: think of Coccidioides immitis
-Cave explorer, exposure to bird droppings or Ohio/Mississippi River valleys (Midwest): think of histoplasmosis
-Smoker over the age of 50: think of lung cancer; order bronchoscopy and biopsy
-Person under 40 with none of the previous: think of harmatoma