A Patient with Hemoptysis and Renal Failure

Table 1

Laboratory data.

CBC	Hb	WBC	Platelets	PT	aPTT
	8.5 g/dL	5.1×10^3 mcL	94×10^3 mcL	17.7 sec	35.3 sec
BMP	Na	K	Cl	HCO3	BUN	Creatinine
	141 mmol/L	4.1 mmol/L	104 mmol/L	14 mmol/L	108 mg/dL	13.34 mg/dL
UA	Large blood	6–10 rbc/hpf	>300 mg/dL	No casts	Myoglobulin negative
Serology	p-ANCA	c-ANCA	Anti MPO	Anti PR3	SSA/SSB/SCL-70	ANA/anti-ds DNA	Anti-GBM
	Neg	Neg	Neg	Neg	Neg	Neg	Neg
Miscellaneous	Influenza	Blood culture	Sputum cultures
	A/B Neg	Neg	Neg
Chest Xray	Bilateral pulmonary infiltrates. No cavitory lesions noted.
CT Chest	No pulmonary embolism.
Ultrasound	Increased bilateral echogenicity. Rt kidney 10 cm, Lt kidney 9.0 cm.
Echocardiogram	Left ventricular hypertrophy.