Persistent Cough and Occasional Hemoptysis

A 67-year-old male presents with a persistent cough that has lasted for 4 months and occasional hemoptysis. He reports shortness of breath with exertion and a recent onset of chest pain described as dull and persistent. He denies fever, night sweats, or significant weight loss. His medical history includes COPD and type 2 diabetes mellitus. He has a 50-pack-year smoking history and quit smoking 2 years ago.

Questions

  1. Differential Diagnoses
    What are the potential differential diagnoses based on this presentation? Prioritize these diagnoses based on the patient’s risk factors and clinical symptoms.
  2. Diagnostic Workup
    What diagnostic tests would you order to differentiate between these diagnoses? Explain the rationale for each test.
  3. Treatment Plan
    Develop a comprehensive treatment plan for the most likely diagnosis, considering the patient’s age, comorbidities, and potential side effects.
  4. Patient Education
    What important information should you provide to the patient and their family regarding the diagnosis, treatment, and prevention of further episodes?

For peer response answer this:

  • How will you ensure regular follow-ups to monitor respiratory symptoms and imaging findings for signs of disease progression or recurrence?

What steps will you take to collaborate with pulmonologists and other specialists to optimize long-term management and palliative care if needed?

Submission Instructions:

  • Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources.
  • You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts.
  • All replies must be constructive and use literature where possible.
  • Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
  • Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
  • You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

persistent cough and occasional hemoptysis

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