🚀 go-pugleaf

On 11 May 1997 16:21:36 GMT, laadedah@aol.com (LaaDeDah) wrote:

>In article <3378d7fd.30608086@news.iamerica.net>,
>nospam*ckrin@Iamerica.net (Charles S. Krin, DO FAAFP) writes:
>
>>> Wouldn't be comfortable with diagnoses yet, but my "BIG #" differential
>>would include:
>>>1- CHF
>>>2- Pneumonia
>>>3- PE
>>All of which are good working diagnoses, but there are a couple of
>>addtional ones that you have missed despite a flare lit history.
>>> Question 4: What lab work or tests would you want to have ready to
>>> roll by the time the doc gets there?
>>
>>
>
>Lung CA.  TB. Besides the others above mentioned, what else would result
>in "rusty" (I assume this means hemoptysis) sputum?  Are we looking for a
>zebra here, or is this a straight forward kinda case?
>This is fun, we should do more of these....
>LauraA

rusty sputum is a classic sign, and not of TB or lung cancer- Sir
William Osler noted that it was one of the oldest consistent signs of
one of the problems that this patient has. (and he wrote at the turn
of the last century!)

ck