Dr. Narendra Kumar (Internal Medicine) needs a second opinion on this medical case.
A 29 y/o male was referred for a non-resolving lung cavity. He also complains of productive cough with blood-streaked sputum.
He is a smoker for past 6 years and drinks alcohol occasionaly.
He has h/o pulmonary tuberculosis and is on medication for the same.
A PPD measured 25 mm of induration.
Cardiac and abdominal examination was wnl.
WBC: 10,500 per mm3, Neutrophils 65% , Lymphocytes 15% and eosinophils 14%, hematocrit 50%
Platelet count was 300,000 per mm3.
Urea nitrogen was 15 mg /dl, and serum creatinine was 0.8 mg/dl