Bifalgorithm post

A 55 -year-old man with a 40 pyar smoking history comes to the clinic due to a persistent cough. The cough started about three months ago. During this period he had episodes of hamatysis and lost 9.1 kilograms. He has had no nausea, vomiting, fever, chills, night sweats, chitin, seizures or gate abnormalities. Temperature is 37 C. Blood pressure is 100 and 3585 Ths of a millimeter Hg and pulse is 77 per minute. Temporal wasting is evident. The mucous membranes are moist and the neck is supple without ly phanopathy. Heart and breath sounds are normal. The abdomen is soft and non- tendernder. No peripheral edema is present. The patient is oriented to time, place and person. Neurologic examination including gateit is normal. Laboratory results are as follows, sodium 100 and 24 meq. L. Albumen 2.9 mg per deciitta and other labs were normal. Which of the following is the best initial treatment for this patient.

A 55 -year-old man with a 40 pyar smoking history comes to the clinic due to a persistent cough. The cough started about three months ago. During this period h…