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A 22-Year-Old Man Coughs Blood
Vicente Morales Oyarvide1, Mridula Nadamuni1
1from the University of Texas Southwestern Medical Center Internal Medicine Residency Program, University of Texas Southwestern Medical Center, Dallas.
Abstract:
A 22-Year-Old Man Coughs BloodA 22-year-old man sought evaluation after coughing up foul-smelling, brown sputum mixed with bright-red blood. Symptoms were preceded by chest pain in the left parasternal region that was worse on deep inspiration. Using questions, physical examination, and testing, an illness script for the presentation emerges. The differential is refined until a final diagnosis is made.
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