QuestionSBA
QuestionChoice
Red flag symptoms for lung cancer are weight loss and haemoptysis. The patient is not particularly old, however, he is a smoker which increases his risk of lung cancer and is displaying clinical features (unintentional weight loss) which require urgent investigation.
10000051
a
Lung cancer
QuestionChoice
Whilst this can present with haemoptysis and cough, unintentional weight loss is more concerning for malignancy and must be explored. Patients with bronchiectasis would also likely have purulent sputum.
10000052
b
Bronchiectasis
QuestionChoice
A patient with asthma would not typically present with haemoptysis and weight loss. A cough may be present although other symptoms such as wheeze, dyspnoea and chest tightness would often be present.
10000053
c
Asthma
QuestionChoice
Haemoptysis and cough can be present in pneumonia, however, the unintentional weight loss and smoking history are more concerning for malignancy.
10000054
d
Pneumonia
QuestionChoice
This is often a more acute presentation and would present with sudden onset dyspnoea and pleuritic chest pain. Patients with a pulmonary embolism can have haemoptysis although in this case, the symptoms are more gradual and the weight loss is more indicative of malignancy.
10000055
e
Pulmonary embolism
Concept
Chapter
2693
3702
Lung Cancer
Topic
132
Respiratory
12557
A 50-year-old man presents to his GP with haemoptysis and a cough which he has had for 10 weeks. He is a smoker and has been for 29 years. The GP also notes unintentional weight loss of 6kg in the last 2 months.

Which of the following is the most likely diagnosis?
a