Chapter

Case 11

John Stradling, Andrew Stanton, Najib Rahman, Annabel Nickol and Helen Davies

in Oxford Case Histories in Respiratory Medicine

Published on behalf of Oxford University Press

Published in print July 2010 | ISBN: 9780199556373
Published online November 2012 | e-ISBN: 9780191753299 | DOI: http://dx.doi.org/10.1093/med/9780199556373.003.011

Series: Oxford Case Histories

Case 11

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A 53-year-old social worker was referred with a 2-year history of daily cough productive of small amounts of clear sputum. He had been given antibiotics every 3 months or so for episodes of increasing sputum purulence. He had no haemoptysis, exercise limitation or wheeze. Past history was of severe sinusitis in childhood requiring surgery, but he denied any childhood respiratory problems. At age 21 he had severe pneumonia and since then described colds ‘going to his chest’ in winter time but, until the last 2 years, had been well in-between these episodes. He was an ex-smoker of 10 years with a prior 25-pack year history. Systemic enquiry revealed no current upper airway or GI symptoms (e.g. bloating, fatty stools or difficulty maintaining weight) but he had intermittent arthralgia affecting his wrists, elbows and shoulders. He had 2 children and denied any family history of respiratory disease. On examination he weighed 91.7kg, BMI 29, there were some course crackles in the right base, but otherwise was completely normal.

Chapter.  1164 words.  Illustrated.

Subjects: Respiratory Medicine and Pulmonology

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