The Clinical Problem

A 25 year old man presents because of infertility. He had been tested in a fertility clinic and told that he has azoospermia. One obvious finding on general examination is that he has clubbing. What else do you want to know?

At the end of Round 1, the information available is:

  • he is not an alcoholic
  • he has been having cough for many years (from childhood)
  • the cough is associated with purulent sputum; there has been no hemoptysis
  • has taken treatment from doctors often for this cough
  • he is unemployed.
  • his stools are bulky and sometimes difficult to flush away

Further questions

Round 2

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