Case 40191

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Abstract
Presentation of Case First admission. A forty-eight-year-old longshoreman entered the hospital because of hemoptysis.Seven months earlier he had been admitted to another hospital because of black stools and weakness. A duodenal ulcer was reported on radiologic examination. He was discharged on Gelusil, a bland diet, liver and iron, with subsequent return of strength and apparent cessation of bleeding. Two months before admission he began to notice blood-streaked sputum. His physician told him that he was probably bleeding from his gums. However, the hemoptysis persisted and seemed to be aggravated by cold weather and coughing. He had associated malaise . . .

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