Q:

A 29 year old woman who returned from Egypt 2 weeks ago now presents with difficulty in breathing, chest pain, cough and purulent sputum with an episode of blood staining. She is on COCPs. What is the most likely diagnosis?

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A 29 year old woman who returned from Egypt 2 weeks ago now presents with difficulty in breathing, chest pain, cough and purulent sputum with an episode of blood staining. She is on COCPs. What is the most likely diagnosis?


  1. Pulmonary embolism
  2. Pneumonia
  3. Lung abscess
  4. Pneumothorax
  5. Pulmonary edema

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The key is B. Pneumonia. [Purulent sputum is the clincher to differentiate pneumonia from pulmonary embolism here].

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