Key result
A 62-year-old man presented with a three-week history of progressive fatigue, exertional dyspnea, subcostal discomfort, and cough, with moist rales at both lung bases on admission.
Case Report (n=1)
Case report of a 62-year-old man presenting with progressive dyspnea, fatigue, and cough.
Single-case presentation of progressive dyspnea and rales does not guide management; leaves open etiology and natural history for larger studies.
Dr. Alan F. White: This 62-year-old man first noticed fatigue, exertional dyspnea, and subcostal discomfort on the left side three weeks before admission to the hospital. Before this he had been in good health, without any respiratory disease or occupational exposure to dust. When seen by his physician one week after onset of symptoms, his fatigue and dyspnea were worse; he also had an ill-defined pain in the upper portion of the abdomen and a slight cough. On physical examination the lungs were clear and the abdomen normal. A roentgenogram of the chest was made (Fig 1). During the two weeks preceding admission to the hospital, the cough became more frequent and was productive of clear, white sputum flecked with blood on one occasion. At the time of admission to the hospital, moist rales were present at both lung bases. A second roentgenogram of the chest was performed (Fig 2).
No takes yet. Share an insight, caveat, or question.
Robert J. Cihak (1970) conducted a case report in Respiratory symptoms (n=1). A 62-year-old man presented with a three-week history of progressive fatigue, exertional dyspnea, subcostal discomfort, and cough, with moist rales at both lung bases on admission.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: