Mr' Pom 18Y, worker

1
Hemoptysis

• Mr. Pom 18Y, worker
• Nonkilek village,Saysettha distric, Vientiane
  City.
• CC Fever Hemoptisis.
• -High fever and coug with sputumhemorhagic 1
  glass.
• Took some medicine at home but not well.
• Tattoo for a long time.
• Food no cook.
• Smoker
• Alcohol
• Single, sexually active, not always using
  protection

2
Physical Examination

• General asthenia, cough with sputumhamorragic
• Dyspnea and pain of chest when he had cough.
• Vital Signs 90/60, P 102 Temp 39,RR 28
• HEENT normal
• Resp vibration normal
• percussion hyper resonant
• Auscultation ronchi,
• Heart Normal
• GI, GU normal

3
Conclusion

• Admitted for hemoptysis, fever, vesicular breath
  sounds ronchi, and previous history Food no
  cook,sexual no protection.

4
Investigations

• CBC WBC 10.800
• HCT 41
• Plt 250.000
• Lymp 20
• Eo 5elevated
• Granulocytes 75 elevated
• Sputum AFB and parasite negative
• Hemoculture no grown
• What else would you order?
• Chest Xray Opacity flu at the left site

5
Diagnosis

• Pneumonia.
• Paragonimous.
• What else would you want?