{"id":792,"date":"2016-02-01T15:40:45","date_gmt":"2016-02-01T15:40:45","guid":{"rendered":"http:\/\/hfhpulm.com\/info\/?p=792"},"modified":"2016-02-01T15:40:45","modified_gmt":"2016-02-01T15:40:45","slug":"back","status":"publish","type":"post","link":"https:\/\/hfhpulm.com\/info\/?p=792","title":{"rendered":"We’re back"},"content":{"rendered":"

A 57-year-old woman presents with worsening shortness of breath over the course of six months. She has lost seven pounds in the past three months and has developed a nonproductive cough. She has never smoked, and has no known mold or work-related exposures. Her only pet is a cockatiel she has had for 18 months. HRCT demonstrates upper lobe predominant ground glass opacities in a mosaic pattern with centrilobular nodules. IGG precipitants for cockatiel droppings are positive.<\/p>\n

What is the next best step in management?<\/div>\n
A. High dose prednisone, followed by a taper<\/div>\n
B. Surgical lung biopsy
\nC. Combined immunosuppression with prednisone and mycophenolate mofetil
\nD. Serological evaluation for evidence of connective tissue disease<\/div>\n
E. Removal of cockatiel<\/span><\/div>\n
<\/div>\n
Chest 2012 Recent advances<\/a><\/div>\n
HSP CCR AJRCCM<\/a><\/div>\n
<\/div>\n
Additional articles posted on clinic reading list<\/div>\n
<\/div>\n","protected":false},"excerpt":{"rendered":"

A 57-year-old woman presents with worsening shortness of breath over the course of six months. She has lost seven pounds in the past three months and has developed a nonproductive cough. She has never smoked, and has no known mold or work-related exposures. Her only pet is a cockatiel she has had for 18 months. […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[96],"tags":[],"class_list":["post-792","post","type-post","status-publish","format-standard","hentry","category-curriculum"],"modified_by":"Geneva Tatem","_links":{"self":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts\/792","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=792"}],"version-history":[{"count":3,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts\/792\/revisions"}],"predecessor-version":[{"id":797,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts\/792\/revisions\/797"}],"wp:attachment":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=792"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=792"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=792"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}