This is an 87 year old man who has a protracted hospital stay complicated by ESBL and VRE UTI, c. difficile colitis, MRSA and pseudomonal pneumonia who has had chronic anemia now having acute respiratory distress and rapidly worsening anemia (hemoglobin drop from 9.8 g/dL to 6.9 g/dL). He has had hematuria for five days. A CT scan was done, see below, what is the next step?
This is an 88 year old man with PMH CAD s/p bare-metal coronary stent placement, h/o TIA on aspirin-dipyridamole, s/p left carotid endarterectomy, CRI stage IV, HTN, and dementia who presents with three days of non-bilious, non-projectile, nonbloody vomitting and dark stools. On abdominal CT, pneumobilia is seen; what is the etiology?
Dx: Adenocarcinoma, primary lung origin, bronchoalveolar carcinoma
60 year old Chinese immigrant with complaints of dry cough for 3 months. AFB sputum smear is negative.
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