Mudança no Raio X

Raio X e caso clínico enviados por André Bezerra Botelho -MR2 Hospital Roberto Santos.

Resumo do caso

Paciente  masculino, 41 anos, procedente de zona rural, renal crônico de provável etiologia hipertensiva, tabagista e etilista importante, cursando há 15 dias com queixa de tosse produtiva com hemoptise e leve dispnéia que pioravam em decúbito dorsal,associado a  perda ponderal associado. Referia ainda alguns episódios de sudorese vespertina. Nega episódios semelhantes prévios. Nega febre no período. Sem dados significativos no interrogatório sistemático.

Ao exame: descorado (+/4+), hidratado, acianótico anictérico.

PA: 140 x 100mmHg   FC: 100 bpm    FR: 24irpm

ACV: BRNF 2T, sopro sitólico pluri focal  grau 2

AR: MV + AHT, com presença de discretos creptos em HTxD

Abd: plano, flácido, indolor, RHA +, sem visceromegalia.

Ext: bem perfundidda e sem edemas.

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