Respiratory System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This middle aged gentleman has presented with prolonged hemoptysis and symptomatic anemia.\n\nGiven his history of pulmonary tuberculosis (PTB), reactivation is an important possibility, although the absence of weight loss and constitutional symptoms argue against this.\n\nBronchiectasis (which is an important complication of PTB) is another possibility, although such patients are usually symptomatic for a longer period (i.e. months to years, rather than weeks).\n\nChronic obstructive pulmonary disease (COPD) should also be considered, as this is a leading cause of hemoptysis. However, the absence of a history of smoking is a strong argument against this diagnosis.\n\nLast, but not least, in patients of this age, the possibility of a bronchogenic c"}]}

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