I have recently seen a patient that confused me, two of my colleagues and a number of ED Doctors, so what do you think is wrong with this patient….?

…..responder on scene about 3 minutes ahead of you. “The patient is presenting with shortness of breath, bi-laterally bubbly chest sounds and maybe a wheeze.  I’m thinking [...]

“You were quick!” says the very pale looking man who answered the door.  He looked like the person that we were calling to see – a male in his 70’s who is complaining of shortness of breath with hemoptysis, hence the small amount of blood on his top lip coming from his nose and mouth.