- 21 year old male, productive cough, wheeze, steatorrhoea. On examination, clubbed and cyanosed with bilateral coarse crackles
- Cystic fibrosis
- CFTR gene on chromosome 7
- Bronchiectasis
- Males infertile
- Pancreatic insufficiency leads to malabsorption and steatorrhoea
- High sweat concentration (>60 mmol/l)
- 63 year old male, A&E, weight loss, cough, haemoptysis, shortness of breath. On examination he is anaemia, clubbed and apyrexial
- Bronchogenic carcinoma
- COPD and asthma are NOT causes of clubbing
- Causes include: Carcinoma of the bronchus, mesothelioma bronchiectasis, abscess, empyema, cryptogenic fibrosing alveolitis, cystic fibrosis
- 65 year old male, shortness of breath, cough productive of pink frothy sputum. On examination, cyanosed and tachycardic and has bibasal end-inspiratory crackles. His JVP is elevated
- Pulmonary oedema
- Sputum pink because of leakage of red blood cells into pulmonary alveoli
- Heart failure (left ventricular)
- 70 year old woman, fever, rigors, shortness of breath, right-sided pleuritic chest pain. On examination, right side of chest reduced expansion, dull percussion, and increased tactile vocal fremitus
- Pneumonia
- 30 year old farmer, repeated fever, rigors, dry cough, shortness of breath with onset several hours after starting work. On examination, pyrexial with coarse end-expiratory crackles. Chest radiograph shows mid-zone mottling
- Extrinsic allergic alveolitis
- Hypersensitivity reaction to inhaled antigens
- In farmers it is due to mouldy hay or germinating barley
- LFTs reveal a reversible restrictive defect
- Honeycomb lung on chest radiograph
Sunday 16 September 2012
EMQ practice - Shortness of breath
Shortness of breath
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I'm 59 years old and female. I was diagnosed a couple of years ago with COPD and I was beyond scared! My lung function test indicated 49% capacity. After having had flu a year ago, the shortness of breath, coughing and chest pains continued even after being treated with antibiotics. I've been smoking two packs a day for 36 years. Being born without a sternum caused my ribs to be curled in just one inch away from my spine, resulting to underdeveloped lungs. At age 34 I had surgery and it was fixed. Unfortunately my smoking just caused more damage to my already under developed lungs. The problem was having is that I enjoy smoking and don't want to give up! Have tried twice before and nearly went crazy and don't want to go through that again. I saw the fear in my husband and children's eyes when I told them about my condition then they start to find solution on their own to help my condition.I am an 59 now who was diagnose COPD emphysema which I know was from my years of smoking. I started smoking in school when smoking was socially acceptable. I remember when smoking was permitted in hospitals. It was not known then how dangerous cigarettes were for us, and it seemed everybody smoked but i was able to get rid of my COPD lung condition through the help of total cure herbal foundation my husband bought, totalcureherbsfoundation .c om has the right herbal formula to help you get rid and repair any lung conditions and cure you totally with their natural organic herbs,it class products at affordable prices because how awful it is with this lung dictions . I wish anybody who starts smoking at a young age would realize what will eventually happen to their bodies if they continue that vile habit throughout their life, certainly total cure herbs is the formula to get over Chronic Obstructive Pulmonary Disease
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