May 2018 pulmonary case of the month
No abstract available. Article truncated after 150 words. History of Present Illness: A 70-year-old man presented with new anemia and heme-positive stools. Esophagogastroduodenoscopy was performed which revealed gastritis. Ascites developed and a chest x-ray noted a left pleural effusion. He was ini...
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| Format: | Article |
| Language: | English |
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Arizona Thoracic Society
2018-05-01
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| Series: | Southwest Journal of Pulmonary and Critical Care |
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| Online Access: | http://www.swjpcc.com/pulmonary/2018/5/1/may-2018-pulmonary-case-of-the-month.html |
| Summary: | No abstract available. Article truncated after 150 words. History of Present Illness: A 70-year-old man presented with new anemia and heme-positive stools. Esophagogastroduodenoscopy was performed which revealed gastritis. Ascites developed and a chest x-ray noted a left pleural effusion. He was initially managed with weekly high-volume thoracentesis and paracentesis. He was referred to pulmonary medicine.
Past Medical History, Social History and Family History: He has a history of coronary artery disease having undergone coronary bypass grafting in 2016. He also has type 2 diabetes mellitus managed by diet and recently diagnosed orthostasis. He smokes about ½ pack of cigarettes per day but does not drink alcohol. He denies any inhalational exposures. He is Native American and works as a judge. There is no family history of any similar disorders.
Physical Examination:
• No acute distress
• Slight bruise to left eye
• No lymphadenopathy
• Decreased breath sounds on left
• Protuberant distended abdomen
• Significant left leg edema
• Discoloration of a few nails … |
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| ISSN: | 2160-6773 |