Clinical Case Database / Category: Clinical Care

A patient with diffuse lung disease

Publication details

Vijay Joshi MD, Ashis Banerjee FRCS, FCEM
Foundation Years Journal, volume 2, issue 5, p.228 (123Doc Education, London, June 2008)

Abstract

A 68-year-old man presented with a one-week history of progressive breathlessness with effort intolerance and orthopnoea. For the preceding five months he had also noted dysphagia to solids. He had a 20 pack-year smoking history, and a history of ischaemic heart disease. On admission he was in moderate respiratory distress, hypoxic and apyrexial. Chest examination revealed bilateral crackles with a mild expiratory wheeze and dullness to percussion at the right lung base. The remainder of the examination was normal.

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Authors

Vijay Joshi MD

Registrar in Integrated Medicine
Chase Farm Hospital

Ashis Banerjee FRCS, FCEM (Corresponding author)

Consultant/Honorary Senior Lecturer in Emergency Medicine
Chase Farm Hospital
The Ridgeway
Enfield
Middlesex EN2 8JL
libra19542003@yahoo.co.uk

References

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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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