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Pulmonary and Critical Care Pearls |

Hemoptysis and Dyspnea in a 67-Year-Old Man With a Normal Chest Radiograph*

Estrellita T. Velez Jo, MD; Richard Scott Morehead, MD, FCCP
Author and Funding Information

*From the Department of Internal Medicine (Dr. Velez Jo), Veterans Affairs Medical Center, Lexington, KY and Division of Pulmonary and Critical Care Medicine (Dr. Morehead), University of Kentucky Medical Center, Lexington, KY.

Correspondence to: R. Scott Morehead, MD, FCCP, Division of Pulmonary and Critical Care Medicine, Chandler Medical Center, 800 Rose Street, MN 614, Lexington, KY 40536; e-mail: smore@pop.uky.edu



Chest. 1999;116(3):803-807. doi:10.1378/chest.116.3.803
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Extract

A 67-year-old man with a history of hypertension was referred for evaluation of hemoptysis and dyspnea. He had been in good health until 3 weeks prior to presentation when he developed sore throat, dry cough, and mild dyspnea on exertion. He was treated for acute bronchitis without improvement. Subsequently, hemoptysis developed, at a rate of 5 to 10 mL, several times per day, accompanied by progressive, severe dyspnea on minimal activity. There was no reported fever, chills, chest pain, or weight loss. Before the onset of symptoms the patient had been very active, walking 6 to 7 miles daily. There was a smoking history of 60 pack-years, but no history of cardiac disease, venous thromboembolism, or occupational lung disorder.

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