Haemoptysis | Figure 1

Haemoptysis

41 years old lady who for the last 7 months has been having haemoptysis only at the beginning of the month. She has lost some weight and has travelled to the US, Asia, and Africa over the last one year. She is otherwise well in the interval when free of haemoptysis. Clinical examination is unremarkable, sputum no AAFBs and chest x-ray normal. Her bloods including coagulation profile entirely normal. Of note she is not on any anticoagulants.

What is the diagnosis?

Similar cases

30 yo female presented to clinic for unexplained weight loss. Pt says over last 6 months loss has been 25+ lbs no change in diet or activity level. All labs normal, HPV + on pap, colpo neg. She has come back monthly for 3 months and each month has at least 2lb weight loss. BMI of 16.3 at last visit. The whole office is at a loss as to what to do next.

18 year old female presents with a desensitized area over face for last 8 months. she has tried multiple antibiotic courses and OTC products to no avail. What will be your differential?

17 year old female presents with headaches following closed head injuries. The headaches lasted several months and weren't improving, so an MRI was done to evaluate for conditions beyond concussion and post concussive syndrome. Several lesions were identified that enhance with contrast. Neurological exam is completely normal and she has no symptoms other than the headache.

27 years old female, unilateral (right) shiny palm and dark colored fingers without sweating. The patient had stress trauma during the last Months. The patient shares that, she lost at least 20 - 23 KG in last 3 Months. She is also having unregular Periods (5 - 6 times in 1 Month). Blood tests appeared normal except Thrombocytopenia. What would be your DD for such a case?

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

Patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?