Southwest Journal of Pulmonary and Critical Care (Sep 2012)

September 2012 pulmonary case of the month: the war on drugs

  • Wesselius LJ,
  • Penupolu S,
  • Lyng PJ

Journal volume & issue
Vol. 5
pp. 107 – 114

Abstract

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No abstract available. Article truncated at 140 words. History of Present Illness A 69 year old woman was seen with a three day history of nonproductive cough and shortness of breath. PMH, SH and FHShe has a past history of atrial fibrillation and hypothyroidism. Her present medications include:•Diltiazem•Amiodarone•Aspirin•Levothyroxine•Multi vitaminsThere is a 20 pack-year smoking history but she quit in 1998. She is employed as a law school professor. Physical ExaminationHer physical examination is normal. Chest X-rayHer admission chest x-ray is shown in Figure 1. Figure 1. Chest x-ray showing the PA (Panel A) and lateral (Panel B) views. An electrocardiogram showed normal sinus rhythm. Which of the following is the most likely cause of the patient’s clinical picture?1.Viral bronchitis2.Exacerbation of COPD3.Pneumonia4.Congestive heart failure5.Drug reaction…

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