Acute dyspnea + Hemoptysis

Chief complaint A 41 y-o male presented with the complaint of acute onset of dyspnea for day with blood-tinged productive cough. History No past history or family history of pulmonary disease. No use of alcohol or tobacco He works in a leather factory. Vitals BP- 135/85 mmHg, Pulse- 89 beats/minute, Resp rate- 26 breaths/m, Temprature- 99.9 degree F, Oxygen saturation- 94% on room air. Investigations CBC, ESR, ANA, Urine analysis are wnl. Chest x-ray normal with elevation of left hemi-diaphragm. Diagnosis What is the most probable diagnosis? Treatment Please give your opinion on management of the patient.

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Investigations including xray chest are reported normal in a pt c/o ac dysponea with hemoptysis I will first think of covid19 infection So first send RT pcr Symptoms are of acute on set and can aggravate in crisis

Thanx dr Ashok Leel
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Under present circumstances covid virus Infection must be ruled out and protocols must followed. Needs further investigation and evaluation to conclude.

? KOCH'S.. ? PUL. EMBOLISM .. ? ILD..PNEUMONITIS.. NEED'S.. HRCT THORAX 2D ECHO STUDY..

Tnx Dr Ashok Leel sir
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Covid 19 is most likely diagnosis Please do RT PCR for Covid 19 Even if Covid 19 is negative or it is not done, empirical treatment may also be instituted

Find out cause Haemoptysis Hrct R/0 diaphragm hernai

PAE TB Malignancy In Acute onset of hemoptysis.

?pulmunory embolism

Dyspnea Draksaristha and kumaryasava with avipattikar churna think its case of "AJIRNA"

Temporary elevation of diaphragm can occur in pneumonia,Lung abcess.,keepingin view the history and exam. HRCT Chest suggested

Pulmonary embolism

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