Clinical Case Database / Category: Clinical Care

Chronic cough

Publication details

Dr. D. Lonsdale, Michael V. Holmes, Eleanor M. Giddings, B. Lams
Foundation Years Journal, volume 2, issue 5, p.234 (123Doc Education, London, June 2008)

Abstract

A 67 year old, who had never smoked, presented with a productive cough for 6 months, and then developed features of pneumonia which persisted for a further 2 months despite antibiotics. A CT scan revealed an endobronchial dense opacity in the right main bronchus (Figure 1). Bronchoscopy identified a chicken bone wedged across the intermediate bronchus (Figure 2), which was successfully removed with forceps. In retrospect, the bone is visible on his initial chest x-ray (CXR) adjacent to the right heart border (Figure 3, arrow).

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Authors

Dr. D. Lonsdale (Corresponding author)

FY1
Department of Respiratory Medicine
St Thomas’ Hospital
London SE1 7EH
dagan_lonsdale@hotmail.com

Michael V. Holmes

ST1 in general internal medicine
Department of Respiratory Medicine
St Thomas’ Hospital
London SE1 7EH

Eleanor M. Giddings

Specialist registrar in respiratory medicine
Department of Respiratory Medicine
St Thomas’ Hospital
London SE1 7EH

B. Lams

Consultant physician in respiratory medicine
Department of Respiratory Medicine
St Thomas’ Hospital
London SE1 7EH

References

1. Chung KF , P avord ID. P revalence, pathogenesis and causes of chronic cough. Lancet 2008; 371:1364–74.
2. British Thoracic Society. Guidelines: Recommendations for the management of cough in adults. BTS, 2006.
3. Irwin RS, Madison JM. The diagnosis and treatment of cough. N Engl J Med 2000; 343:1715–21.

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About the Clinical Cases Database

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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