Chest pain with hemoptysis

Chief Complaint A 43 y/o female presents with sudden onset left sided chest pain and hemoptysis with approximate 5 ounces of blood. History She smokes occasionally and does not drink. Investigations Hb: 11.2 g/dl WBC: 6,450 per mm3 Hematocrit 38% Platelet: 358500 per mm3 BUN: 9 mg/dl Serum creatinine: 0.8 mg/dl LFT normal Sputum test: Pseudomonas aeruginosa present Chest x ray shows increased opacity in the left upper lung. CT shows bronchiectasis. Treatment Advise your opinion

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Needs further investigation and evaluation to know exact cause of hemostasis and it's management BS antibiotics iv bd. Cough expectorant. Symptomatic treatment.

Thanks Dr Kute Ankush
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NEED'S.. BS..ANTIBIOTICS.. HEMOSTATIC MANAGEMENT.. COUGH EXPECTORANT.. SYMPTOMATIC T/T..

Tnx Dr Ashok Leel sir
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Consider PTB / bronchiectasis Fungal ball Malignancy PAE Viral pneumonia.

Bronchiectasis only sameerpannag ras + hemgarbha potali + suvarnasutshekar can work in small quantity given repeated times

Consider as pul kochs/ bronchiactesis Iv antibiotics Homeostatic management

Hemostasis antibiotics may be brochodilators

Haemoptysis is a symptoms of chronic bronchitis...so my diagnosis is chronic bronchitis....Rx antibiotic...sulfahydryl-acetylcysteine+acebrofylline....cough expectorant... homeostatic management and symptomatic management

Rx Tranaxamic acid 500 bd Grillinctus L TDS Inj Ceftraxone 1gm OD Analgesic