IMAGE OF THE WEEK BY PROF.P.VIJAYARAGHAVAN’S UNIT ELAVAZHAGAN.B PG
50 yr male old came with c/o Hemoptysis three episodes over 1 day Around 100-150 ml per episode Blood stained sputum since morning No h/o breathlessness. Past h/o : not a known DM/HT/BA/PT Personal h/o: known smoker 15 yrs Contact h/o : no contact with TB
O/E conscious ,afebrile no pallor/icterus/cyanosis/clubbing/LN/PE VITALS - stable RS: Tracheal shift to left apical impulse at 5 ICS lat to mid clavicular line. VF,VR diminished Lt side lung fields Dullness in same side on percussion Lt side BS absent Rt side NVBS heard.