1. Lost in the Woods: Granulomatosis with Polyangiitis
Lindsay T. Fourman, MD, Amy G. Fogelman, MD 
The American Journal of Medicine 
Volume 128, Issue 10, Pages (October 2015)
DOI: /j.amjmed
Copyright © 2015 Elsevier Inc. Terms and Conditions

2. Figure 1
The audiogram plots the lowest-intensity sound the patient is able to detect at each frequency. Normal hearing is −10 to +25 dB (shaded area), and speech frequencies typically range from 250 to 6000 Hz. Our patient had sloping to severe hearing loss in her right ear. Air conduction was worse than masked bone conduction, suggesting a significant conductive deficit. Bilateral moderate sensorineural hearing loss was also present, as was evidenced by the downward sloping of the masked bone conduction curves.
The American Journal of Medicine  , DOI: ( /j.amjmed )
Copyright © 2015 Elsevier Inc. Terms and Conditions

3. Figure 2
Computed tomography of the chest showed multifocal tree-in-bud opacities (T) and bronchiectasis (B).
The American Journal of Medicine  , DOI: ( /j.amjmed )
Copyright © 2015 Elsevier Inc. Terms and Conditions

4. Figure 3
Indirect immunofluorescence demonstrated a perinuclear staining pattern that was confirmed by immunoassay for myeloperoxidase antibodies.
The American Journal of Medicine  , DOI: ( /j.amjmed )
Copyright © 2015 Elsevier Inc. Terms and Conditions

5. Figure 4
Urine microscopy was performed. The urine sediment contained red blood cell casts and dysmorphic red blood cells, suggestive of glomerulonephritis.
The American Journal of Medicine  , DOI: ( /j.amjmed )
Copyright © 2015 Elsevier Inc. Terms and Conditions