Wednesday, January 25, 2017

Pneumonology Quiz – Case 4 (free article from Archives of Hellenic Medicine)

Dear friends read new Pneumology Quiz from Archives of Hellenic Medicine!
A 34-year-old female patient presented to the emergency department with 6 hours’ history of sudden onset of breathlessness associated with severe pleuritic chest pain, minimal hemoptysis and pyrexia. She denied any other symptoms. She
had only returned from a business meeting in South Africa a week ago and she was quite concerned of the possibility of having contracted a tropical infection, although she had followed vaccination and hygiene advice given by an infectious disease specialist before her departure, four weeks ago. Her past medical history included two episodes of miscarriage. On examination, she was tachycardic (95 bpm) with normal blood pressure (140/75 mmHg), tachypneic (22 bpm) with normal oxygen saturation (95% on room air) and pyrexial (37.4 oC). A detailed clinical examination did not yield positive clinical findings. Full blood count, urea and electrolytes, as well as c-reactive protein (CRP) were all within normal range. Chest X-ray was insignificant.
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Previous cases:

Pneumonology Quiz - Case 1

Pneumonology Quiz - Case 2

Pneumonology Quiz – Case 3

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