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8130 Medicine

A 70-year-old diabetic and hypeensive patient was being investigated for angina and a coronary angiogram was performed. Two days later, he developed fever and abdominal discomfo and dyspnea and a mottled skin rash. His great toe appeared black. His BP increased to 180/100. His creatinine was found to have risen from a pre-angiography level of 1.2 to 3.6 mg/dl. He has eosinophilia. Which one of the following statements is TRUE regarding this condition?

AN-acetylcysteine would have prevented this condition
BThis is contrast-induced nephropathy
CHeparin is the treatment of choice
DKidney biopsy will show micro-vessel occlusion with a cleft in the vessel
Medicine
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8134 Radiology

A 69-year-old man with a history of chronic obstructive pulmonary disease/chronic bronchitis is admitted with increasing sputum production, fever, chills, and decreased O2 saturation. His chest x-ray shows a left lower lobe nonhomogeneous opacity. He is treated with IV antibiotics and improves. On the fouh hospital day, prior to discharge, CXR is repeated and the radiologist repos that there is no change as compared to the admission x-ray. Chest x-rays are shown.What will you do next?

AObtain a CT scan to rule out abscess
BDefer discharge and resume IV antibiotics
CSchedule a pulmonary consult for bronchoscopy to improve bronchial drainage
DDischarge the patient on oral antibiotics
Radiology
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