03-15-2008, 08:52 PM
A 20-year-old man comes to the office because of hemoptysis for the past day. He describes producing sputum streaked with blood on prolonged coughing. He has been healthy all his life. He denies drug use as well as fever, chills, shakes, nausea, vomiting, diarrhea, weight loss, chest pain, leg swelling, dysuria, hematuria, or any skin rash. He is not taking any medications. There is no bleeding history in the family. He has no known drug allergies. The patient reports that he has had a slight fever and a cough for the last 3 days. He has also had a runny nose. He was exposed to a cousin who was recently ill with an upper respiratory infection. His temperature is 37.8 C (100 F). Blood pressure and heart rate are within normal limits. He is a well developed and well nourished individual. Lungs are clear. Laboratory studies are normal. Which of the following is the appropriate management?
A. Check urinalysis
B. Check antinuclear cytoplasmic antibiotics
C. Schedule a bronchoscopy
D. Obtain a chest CT scan
E. Obtain a chest x-ray
A. Check urinalysis
B. Check antinuclear cytoplasmic antibiotics
C. Schedule a bronchoscopy
D. Obtain a chest CT scan
E. Obtain a chest x-ray
