Clinical Case Database / Category: Clinical Care

Haemoptysis

Publication details

Ronan Astin MB, BS, MRCP, Himender K Makker DM, FRCP
Foundation Years Journal, volume 3, issue 6, p.17 (123Doc Education, London, July 2009)

Abstract

You are asked to see a 54-year-old lady who presented to the A&E with a recent history of haemoptysis. She had complained of a worsening cough over the preceding 3 months, though put this down to her smoking, having smoked 5 cigarettes per day since her mid-teens. Over the last 1 week, she had noticed blood on coughing. This was not associated with any shortness of breath or chest pain. She is extremely anxious. She had not been on any recent long haul journeys and has no history of DVT or PE. She had no significant past medical history, and she was on no regular medications. Her family history includes one bother with a history of angina; a father who died of an MI aged 75; and a mother who had TB as a young adult, but is alive and generally well. Initial blood tests show Hb 14.5; MCV 88.6; WCC 7.8; CRP

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Authors

Ronan Astin MB, BS, MRCP

Specialist Registrar
Department of Respiratory Medicine
North Middlesex University Hospital
Sterling Way
London N18 1QX
ronan.astin@nmh.nhs.uk

Himender K Makker DM, FRCP

Consultant Physician/Senior Lecturer in Respiratory Medicine
University College London and North Middlesex University Hospital
Sterling Way
London N18 1QX
himender.makker@nmh.nhs.uk

References

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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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