63M PTB
63 YEAR OLD MALE CAME TO PULMONOLOGY OPD WITH C/O COUGH SINCE 15 DAYS BACK PAIN SINCE 3 MONTHS 2 EPISODES OF BLOOD VOMITINGS 15 DAYS BACK HISTORY OF PRESENT ILLNESS PATIENT WAS APPARENTLY ASYMPTOMATIC 15 DAYS BACK THEN HE HAD 1 EPISODE OF HEMATEMESIS FOR WHICH PT WAS ADMITTED IN A LOCAL HOSPITAL AND WAS CONSERVATIVELY MANAGED AND THEN HAD A SIMILAR COMPLAINT 5 DAYS LATER AND WAS CONSERVATIVELY MANAGED PATIENT DEVELOPED COUGH 15 DAYS AGO SUDDEN IN ONSET PREDOMINANTLY NON PRODUCTIVE OCCASIONALLY PRODUCTIVE WHITISH MUCOID SPUTUM, NON FOUL SMELLING OCCASIONALLY BLOOD STAINED ( LAST 4 DAYS AGO) MUCOID SPUTUM ,NON FOUL SMELLING OCCASIONALLY BLOOD STAINED ( LAST 4 DAYS AGO) . C/O FEVER LOW GRADE NOT AW CHILLS AND RIGORS AGGREVATED AT NIGHT NO C/O SOB, CHEST PAIN, CHEST TIGHTNESS, SWEATING, PALPITATIONS, LOSS OF APPETITE, LOSS OF WEIGHT PATIENT ALSO HAD THE C/O BACK PAIN SINCE 3 YRS AGGREVATED SINCE 3 MONTHS C/O HOARSENESS OF VOICE SINCE 1 WEEK H/O ...