Posts Tagged ‘dyspnea’

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… 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… 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… 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… 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… 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… Read More…

Microcytosis

Posted by Graham McMahon • August 19th, 2011

In the latest Case Record of the Massachusetts General Hospital, a 62-year-old woman presented with dyspnea, anemia, and paraspinal masses. Examination revealed splenomegaly. Laboratory studies revealed microcytic anemia. A diagnostic test result was received. A common feature of all thalassemias is that clinical symptoms arise less from the deficit in hemoglobin production than from the accumulation… Read More…

Constrictive Bronchiolitis

Posted by Daniela Lamas • July 20th, 2011

A soldier returns from deployment in Iraq. A non-smoker without a history of asthma or other lung disease, he begins to notice that he’s no longer able to complete the army exercise regimen without becoming short of breath. The onset is insidious, but the impairment real: he isn’t even able to meet the fitness standard… Read More…

Test Your Diagnostic Skills

Posted by Karen Buckley • December 16th, 2010

Learn interactively, get immediate feedback, and compare your performance with that of others when you try our latest Interactive Medical Case, “A Crazy Cause of Dyspnea”. An 18-year-old black woman presented with fever, ear pain, and dull discomfort on the right side of the chest that was unchanged with movement or inspiration. She had no… Read More…