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A Presenting Symptom in Two Interesting Cases

A. MURRAY FISHER, MD; WILLIAM M. SHELLEY, MD

Arch Intern Med. 1966;117(3):412-416.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

FEW manifestations of disease are more alarming to the patient and more challenging to the physician than is massive hemoptysis. The precise location of the bleeding site is often a problem and it can be even more difficult to establish the nature of a lesion with sufficient accuracy to permit definitive therapy. It is the purpose of this report to describe two patients with intractable hemoptyses in whom major surgery, undertaken for diagnosis, proved also to be curative.

Report of Cases

CASE 1.

—Patient R. M., a Caucasian man, was 44 years old when first seen in 1948. He was an architect who had always been well, and who gave no history of having aspirated a foreign body, or having had a respiratory infection in the recent past. He began to cough up large quantities of blood, apparently spontaneously, and this led to his admission to The Johns Hopkins Hospital . . . [Full Text PDF of this Article]

Author Affiliations
BALTIMORE

From the departments of medicine and pathology, the Johns Hopkins Hospital and University, Baltimore.

Footnotes
Received for publication Nov 17, 1965; accepted Dec 1.

Read in part before the meeting of the American Clinical and Climatological Association, Colorado Springs, October 1964.

Reprint requests to 18 E Eager St, Baltimore, Md (Dr. Fisher).

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