Haemoptasis with TarryBlood feaces in Dog suggest treatment with prababil etiology

a 25 yr male with fever cough since 4to 5 days vomitting since yday with following reports pls guide regarding indoor management

A 46 year old female presented with bleeding gums and bruises on both forearms for the last 2 days. For the preceding 10 days she had been experiencing a high fever and rigors. In addition, she complains of a rash over both forearms, but she is unable to further characterize it. She noted severe pain in both legs during the febrile portion of her illness. There was no history of hematuria, melena, cough, or hemoptysis. What is the diagnosis and mx of the case.

A 43 year old woman presented to the ED with a 2 day history of bleeding from her gums. For the past month, the patient has also experienced progressive weakness and occasional bruising over the buttocks, thighs, and shoulders without significant trauma. For the past year the patient has been intermittently using oral analgesics for low back pain. She denies any history of hematemesis, melena, hemoptysis, epistaxis, fever, or rash. The patient does not smoke or use illicit drugs, but she does consume 1-2 cans of beer daily. She denies using any regular medications, including oral contraceptives. There is no history of any gastrointestinal or genitourinary illnesses. comment on the case please.

A 44 year old female presents to the ED with bleeding gums and bruises on both forearms for the last 2 days. She has fever since 1 week. She noted severe pain in both legs. There was no history of hematuria, melena, cough, or hemoptysis. She is not taking any routine prescription medications. She has no known drug allergies. She is married with 5 children. There is no travel history or any history of sick contacts. What is the most likely diagnosis and comment on Rx.

Dear Friends We often get cases of haemoptysis to manage. Let's have a detailed update…. HAEMOPTYSIS Differential Diagnosis of Hemoptysis PULMONARY PARENCHYMAL SOURCE.. Tuberculosis Pneumonia Lung abscess Lung contusion Mycetoma Idiopathic pulmonary hemosiderosis Wegener granulomatosis Lupus pneumonitis Goodpasture syndrome TRACHEO-BRONCHIAL SOURCE.. Bronchiectasis Neoplasm Bronchitis Broncholithiasis Airway trauma Foreign body PRIMARY VASCULAR SOURCE Arteriovenous malformation Pulmonary embolism Elevated pulmonary venous pressure Pulmonary artery rupture MISCELLANEOUS AND RARE CAUSES Systemic coagulopathy or thrombolytic agents Catamenial hemoptysis (pulmonary endometriosis) PSEUDO HAEMOPTYSIS Upper airway source(like nose) Gastrointestinal source(haematemesis) Serratia marcescens (gram-negative bacterium that produces a red pigment that may be mistaken for blood) Malingering HOW HISTORY SUGGESTS…. ETIOLOGY OF HAEMOPTYSIS…        (1)h/o ANTICOAGULANT USE..     Coagulopathy (2)h/o COUGH…             Bronchiectasis, COPD, foreign body, pneumonia,  tuberculosis (3)h/o FEVER..    Tuberculosis, Bronchitis, lung abscess, neoplasm, pneumonia, pulmonary embolism, (4)h/oHEART DISEASE..         Congestive heart failure (5)h/o RECENT SURGERY OR IMMOBILIZATION…           Pulmonary embolism (6)h/o SMOKING…         Bronchitis, COPD, neoplasia (7)h/o SPUTUM PRODUCTION         Bronchiectasis, COPD, pneumonia, tuberculosis (8)h/o TRAUMA            Airway trauma, pulmonary embolism (9)h/o WEIGHT LOSS COPD, neoplasia, tuberculosis WORKUP AND MANAGEMENT Chest radiography.. Plain x-ray or CT thorax may provide clues about the etiology, as well as guide further resuscitation and evaluation. Treatment of the possible cause of haemoptysis should be initiated. Once the bleeding site has been determined, the patient should be placed in the lateral decubitus position with the affected lung down to prevent pooling of blood in the unaffected bronchial system. Rapid bleeding warrants immediate airway control with rigid bronchoscopy or endotracheal intubation Flexible bronchoscopy is less effective in maintaining a patent airway, but can provide useful diagnostic information. For stable patients with no identifiable cause detected.. chest CT angiography and/or bronchial artery arteriography with or without embolization should be performed. Thanks I hope this information on HAEMOPTYSIS will be HELPFUL to most of us Dr K N Poddar