Posts Tagged ‘dyspnea’

A Woman with Dyspnea

Posted by Carla Rothaus • June 10th, 2016

Bronchiolitis is a disease of the small airways, which are defined as airways less than 2 mm in diameter and without cartilage. The bronchioles are especially vulnerable to infectious or inhalational insults because of their narrow diameter. A 60-year-old woman was seen in a pulmonary clinic because of increasing dyspnea. Chest imaging revealed bronchiectasis and mild,… Read More…

A Man with Dyspnea and Chest Pain

Posted by Carla Rothaus • March 25th, 2016

In every patient with a large pulmonary embolus, one may consider the possibility that the embolus is caused by a benign cardiac tumor, primary cardiac cancer, or a metastasis to the heart. A 29-year-old man presented with severe dyspnea and chest pain on the right side. Computed tomographic angiography revealed a filling defect in the main and… Read More…

Comfort Care

Posted by Carla Rothaus • December 26th, 2015

The symptoms that cause suffering in hospitalized patients who are near death can be addressed by a variety of palliative interventions that improve the patient’s remaining life and ease the stress on both the patient and family members. A new review article summarizes.  Palliative care services can reduce the distress caused by symptoms and improve the… Read More…

Abdominal Pain, Dyspnea, and Diplopia

Posted by Carla Rothaus • January 27th, 2015

Peripheral causes of acute generalized weakness include motor neuronopathies, acute acquired polyneuropathies, myopathies, and presynaptic and postsynaptic neuromuscular-transmission disorders. Clinical Pearls – Is botulism a presynaptic or postsynaptic neuromuscular-transmission disorder? Botulism is a toxin-mediated disease that results in the presynaptic blockade of acetylcholine transmission across the neuromuscular junction.  – What is adult intestinal toxemia? Adult intestinal toxemia is a… Read More…

40-Year-Old Woman with Postpartum Dyspnea and Hypoxemia

Posted by Sara Fazio • July 18th, 2014

In the latest Case Record of the Massachusetts General Hospital, a 40-year-old woman was admitted to this hospital 10 days post partum because of dyspnea and hypoxemia associated with leg edema and blood-tinged sputum. Diagnostic procedures were performed. Causes of dyspnea and hypoxemia in the peripartum period are predominantly of pulmonary or cardiovascular origin, the latter… Read More…

A 34-Year-Old Woman with Increasing Dyspnea

Posted by Sara Fazio • March 21st, 2014

In the latest Case Record of the Massachusetts General Hospital, a 34-year-old woman with a history of Raynaud’s phenomenon and symmetric joint pain was admitted to the hospital because of increasing dyspnea. An echocardiogram showed severe pulmonary hypertension. Diagnostic test results were received. A diagnosis of pulmonary hypertension can be confirmed in a straightforward manner by… Read More…

Racemic Adrenaline in Acute Bronchiolitis

Posted by Sara Fazio • June 14th, 2013

In this study of infants with bronchiolitis, there was no difference in the length of hospital stay between those treated with inhaled adrenaline and those treated with inhaled saline. Infants treated on demand had a shorter length of stay than those treated on a fixed schedule. Acute bronchiolitis in infants frequently results in hospitalization, but there… Read More…

Kidney and Respiratory Failure

Posted by Sara Fazio • October 19th, 2012

In the latest Case Record of the Massachusetts General Hospital, a 35-year-old man was admitted to this hospital because of dyspnea, anemia, and renal failure. Two days earlier, dyspnea and decreased urine output had developed. Imaging revealed bilateral lung opacities, and bronchoscopy showed pulmonary hemorrhage. Diagnostic tests were performed. The term Goodpasture’s syndrome is applied to… Read More…

Breathtaking Journey

Posted by Sara Fazio • August 3rd, 2012

A 48-year-old man came to the emergency department in early August with a 3-day history of influenza-like symptoms and profound dyspnea on exertion, which had started 3 days after his return to Boston from a vacation in California. Read this latest Clinical Problem-Solving case on NEJM.org. The hantavirus pulmonary syndrome came to national attention in 1993, after… Read More…

Pulmonary Thrombotic Microangiopathy

Posted by Graham McMahon • January 6th, 2012

In our latest Clinical Problem-Solving article, a 50-year-old woman presented with fatigue and shortness of breath. Dyspnea after moderate exertion had developed gradually, along with profound malaise and a nonproductive cough. In the 48 hours before admission, her shortness of breath had worsened.     The clinicopathological syndrome of subacute cor pulmonale caused by tumor microemboli to the… Read More…