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Imagine you are a physician. Your patient, Billy, is 80 years old and lives at a

ID: 64550 • Letter: I

Question

Imagine you are a physician. Your patient, Billy, is 80 years old and lives at a elderly care facility in Manhattan. He complains of chest pains, coughing, and fever, which are characteristic of many common respiratory tract infections. You observe nothing unusual about his weight or chest and throat, but you can hear "crackles" with your stethoscope upon inhalation, and the most notable sign of disease is the blood in his sputum. His symptoms started about two weeks ago and worsened with time. According to his medical history, he is HIV+, a lifelong smoker, and had been administered the BCG vaccine as a child growing up in Europe. Based on this information, what is the patient’s most likely diagnosis?

Select the best answer.

Select the best answer.

Histoplasmosis Whooping cough Strep throat Hantavirus SARS Bacterial pneumonia Tuberculosis

Explanation / Answer

Bacterial pneumonia

Crackles in respiratory tract are indicative of respiratory tract infection, probably caused due to bacterial pneumonia. The patients suffering from pneumonia often shows the symptom of bloody sputum.

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