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A 56 year old man presents to the emergency department with a six-week history of intermittent haemoptysis
He reports streaks of blood in the sputum but no clots or massive haemoptysis. This is associated with a worsening cough. He has symptoms consistent with COPD (chronic obstructive pulmonary disease) but has not been formally diagnosed.
He has an 80 pack year history of smoking and currently smokes 40 cigarettes per day. He notes weight loss over the past 2-3 months but is unable to quantify the amount. He denies worsening of his baseline shortness of breath. He does not have any chest pain or palpitations. He has not been in contact with any unwell people and has not had any fevers or chills. He denies leg swelling and does not have a history of DVT (deep venous thrombosis).