A 20-year-old woman presents to the Out-Patient Department with mild dyspnea, malaise, low-grade fever, and arthralgia. Physical examination showed tender erythematous nodules meas... A 20-year-old woman presents to the Out-Patient Department with mild dyspnea, malaise, low-grade fever, and arthralgia. Physical examination showed tender erythematous nodules measuring 2-3 cm in both shins. Chest auscultation revealed fine basal crackles. Which of the following is the next best action in management? A. Blood culture B. Oral steroids C. Chest X-ray D. Skin biopsy
Understand the Problem
The question presents a clinical scenario involving a 20-year-old woman with symptoms including dyspnea, fever, and erythematous nodules. The question asks which management step should be taken next based on her presentation and examination findings.
Answer
C. Chest X-ray
The final answer is C. Chest X-ray.
Answer for screen readers
The final answer is C. Chest X-ray.
More Information
This clinical presentation suggests sarcoidosis with erythema nodosum. A chest X-ray is crucial for detecting hilar lymphadenopathy, which is often seen in sarcoidosis.
Tips
A common mistake is to proceed directly with treatment (e.g., steroids) without confirming the diagnosis. Imaging is non-invasive and provides essential diagnostic information.
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