SMJ articles in the category "dyspnea"

Case Report

Not Your Typical Chronic Obstructive Pulmonary Disease Exacerbation: Aspergillus Tracheobronchitis in a Nonclassical Immunocompromised Host

he present study reports on a 72-year-old female initially treated as a presumed chronic obstructive pulmonary disease (COPD) exacerbation, but she was ultimately discovered to have Aspergillus tracheobronchitis. Bronchoscopic findings were characteristic, revealing diffuse plaque-like inflammatory lesions extending from midtrachea into the mainstem bronchi. Evidence suggests that the rise in…

Posted in: Aspergillus 3 bronchoscopy 5 COPD 10 dyspnea 6 infection 11

Case Report

An Interesting Case of Positional Hypoxia: The Effect of Multiple Synergistic Pathological Conditions

Abstract:This report describes an elderly patient evaluated for generalized fatigue, dyspnea, presyncopal episodes, and positional hypoxemia. Workup revealed posturally related oxygen desaturation, a patent foramen ovale (PFO), an atrial septal aneurysm, and primary adrenal insufficiency. Normal intracardiac pressures and a right-to-left PFO shunt were present only while the patient was…

Posted in: atrial septal defect 2 dyspnea 6 hypoxia 2 patent foramen ovale 6

Expired CME Article

A Clinician’s Guide to the Diagnosis and Treatment of Interstitial Lung Diseases

Interstitial lung disease (ILD) is a final common pathway for a large number of lung insults. It is characterized by progressive scarring of the lung leading to restriction and diminished oxygen transfer. Clinically, the presenting symptoms of ILD are nonspecific (cough and progressive dyspnea on exertion) and are often attributed…

Posted in: dyspnea 6 interstitial lung disease 2

Case Report

Pneumothorax Secondary to Acupuncture Therapy

A 27-year-old medical student seeking acupuncture therapy for a right levator scapular muscle spasm developed acute dyspnea, chest pain, and nonproductive cough within minutes following the treatment. The patient was later diagnosed with a 30% pneumothorax of the right lung. Pneumothorax is a well-known adverse effect of medical procedures such…

Posted in: acupuncture 5 chest pain 6 dyspnea 6 pneumothorax 5

Case Report

Diagnosis of Benign Solitary Fibrous Tumors by Positron Emission Tomography

An 80-year-old male presented with dyspnea so severe that he could not perform the activities of daily living. Chest radiography and computed tomography of the chest demonstrated a 30-cm left chest mass extending inferiorly to displace the left kidney and spleen. Three incisional biopsies yielded inconclusive results. Positron emission tomography…

Posted in: dyspnea 6

Case Report

Pleural Effusion Caused by Trapped Lung

We report a case of pleural effusion from trapped lung secondary to sarcoidosis. The patient presented with dyspnea, right pleural effusion, left and right upper-lobe infiltrate and a widened mediastinum. The pleural effusion and dyspnea failed to respond to a course of oral corticosteroids but was relieved by decortication with…

Posted in: dyspnea 6 pleural effusion 9 sarcoidosis 15 thoracotomy 4
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