A 42-year-old patient was diagnosed with mediastinal tuberculosis 3 weeks ago and commenced on treatment. He presents with worsening breathlessness and stridor. His chest X-ray shows mediastinal lymph nodes compressing the carina area, whilst he is distressed he is alert and orientated and maintaining his oxygenation. You give him an injection of hydrocortisone What is the next step in the investigation and/or management? Urgent computed tomography (CT) scan Tracheostomy Heparin Ethambutol Broad spectrum antibiotics
Posted on: Tue, 29 Jul 2014 22:36:59 +0000