PATIENT HISTORY BY PRITAM GUPTA
AGE:41
SEX:MALE
OCCUPATION:Farmer
MARTIAL STATUS:Married
RELIGION:Hindu
Chief Complaints: 1.Chest pain from one month.
Chief Complaints: 1.Chest pain from one month.
2.Cough with blood prior to one week of date of admission.
History of Presenting Illness:Light pain in chest in starting but gradually became mild.It was hardly affecting his daily work.No sudden increase of pain.
While coughing , bleeded once.It was first and last till now.
Past History:No such
Family History:No such
Medical and Surgical history:No such
Personal History: 1.Use to eat Tobacco 2.Irregular fooding time
Treatment History:X-Ray of chest was done
Hi Avinash, What was the final outcome of this patient ?
ReplyDeleteDid the patient have a history of immunocompromise ? Multiple bilateral cavitary lung lesions could be due to infective emboli?
However there was no history of fever, so an infective cause appears unlikely. A malignancy or an autoimmune disorder has to be considered.
The patient chew tobacco and doesn't smoke it so makes a lung cancer unlikely. An autoimmune disorder which can cause this is GPA, EGPA or MPA. Sarcoidosis and PAN too can be considered.
All in all, an infective cause, simply by its epidemiology, must always be excluded. Eagerly waiting to know the patient's outcome.
Thanks for sharing :)