Case 2

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:

Series: Oxford Case Histories

Case 2

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A 77-year-old lady was referred with progressive breathlessness over 3 years. She was breathless walking 100 yards on the flat and could not manage stairs. There were no other respiratory symptoms. Past history was of myocardial infarction (MI) in 1984, and duodenal ulcer 1988. She had stopped smoking after her MI, with a prior 40 pack year smoking history. Her medication consisted of simvastatin, lisinopril, furosemide, aspirin, amiodarone, salbutamol and omeprazole. All of her cardiac medications were commenced post-MI. She kept no pets. On examination there was central cyanosis, finger clubbing and resting oxygen saturations of 83% on room air. JVP was not elevated and there was no peripheral oedema. Cardiac examination revealed an aortic sclerotic murmur and respiratory examination revealed bibasal fine inspiratory crackles in the lower zones. Abdominal and musculoskeletal examination was unremarkable.

Chapter.  1291 words.  Illustrated.

Subjects: Respiratory Medicine and Pulmonology

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