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and was breathless when she stooped. Since having been buried for several hours after bombing during the war she had suffered from claustrophobia, and her symptoms were thought to be due to anxiety. On examination she had no abdominal paradox, but investigations showed pronounced diaphragm weakness. Transdiaphragmatic pressure was 38 cmH2O during a maximal sniff, 17-5 cmH20 during a maximal inspiration, and 6 cmH2O during a maximal static inspiratory effort. This patient had autoimmune disease with a history of Hashimoto's thyroiditis, systemic sclerosis, and Raynaud's disease. I Russell PSB. Analgesia in terminal malignant disease. BrMed. 1979i:
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Jones et al. (1986) studied this question.
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