Concluded Case

T2 DM with hemoptysis, sudden onset. CXR normal.CT revealed .

Sudden bout of hemoptysis, Diabetes mellitus. Pt have shown me the beaker full of blood ,Hemoptysis controls, while he visited me Chest Xray and CT scan taken in the next day morning. Pt is T2DM on insulin therapy. Opine based on CT.

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Concluded answer
Cxray shows hyperinflation and aortic knuckle calcification. Ct thorax showing left anterior solitary thick walled cavitary lesion and infiltrations around it. Possibly the cause of active bleeding. Consider Koch's and malignancy. Needs Supportive therapy with vit k, hemocoagulation , sos plasma transfusion. Maintain hemodynamic stability including colloids. Consider broncheal artery embolisation if remains or progress to moderate to severe hemoptysis. Ofcourse glycemic management is also a priority.
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Cxray shows hyperinflation and aortic knuckle calcification. Ct thorax showing left anterior solitary thick walled cavitary lesion and infiltrations around it. Possibly the cause of active bleeding. Consider Koch's and malignancy. Needs Supportive therapy with vit k, hemocoagulation , sos plasma transfusion. Maintain hemodynamic stability including colloids. Consider broncheal artery embolisation if remains or progress to moderate to severe hemoptysis. Ofcourse glycemic management is also a priority.
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CXR - hyper inflated lung with flattened diaphragm CT- single cavitary lesion with thick wallmay be due to Tuberculous, malignancy or staph inf. Cavity may be the source of hemoptysis. Ix CBC, ESR, CBNAAT, sputum examinations Rx Treat underlying cause Symptomatic- trenaxamic acid, ethamsylate, antibiotics ,fluids (NS, RL, haemaccele) Optimum control of sugar
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Fibro cavitatory areas left apex. Tubercular
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