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9

Broken Heart Syndrome? - Ask Dr. Weil

A friend of mine was rushed to the hospital with chest pain and shortness of breath. She thought she was having a heart attack but was diagnosed with  
drweil.com
almost 5 years ago
Sinaiem dark
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lump-in-my-throat

A 19-year-old-male with no known past medical history, presents in progressive respiratory distress shortly after undergoing a tooth extraction about 6 hours prior to presentation. Symptoms began initially as “a lump in his throat” and difficulty swallowing, but eventually progressed to mild dyspnea after 1-2 hours. Denies FB or allergies. On arrival he appears anxious and is breathing at 18 breaths per minute with an O2 saturation of 100%. There is no stridor at presentation. There is no intra-oral, facial, or obvious neck swelling. There is no skin involvement or abdominal pain, nausea, vomiting or diarrhea. You suspect allergic reaction and give IM epi, IV steroids, benadryl and pepcid. ENT is consulted for scope.  
sinaiem.org
almost 5 years ago
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Dr. Smith's ECG Blog: Weakness and Dyspnea with a Sine Wave. It's not what you think!

Instructive ECGs in Clinical Context ----Archives, Popular Posts, and an Index of all ECGs are down the right-hand side.  
hqmeded-ecg.blogspot.com
almost 5 years ago
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Dr. Smith's ECG Blog: A 50-something male with Dyspnea

Instructive ECGs in Clinical Context ----Archives, Popular Posts, and an Index of all ECGs are down the right-hand side.  
hqmeded-ecg.blogspot.com
almost 5 years ago
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A man with rust coloured urine and normocytic anaemia

A 65 year old man presented to the emergency department with a 10 day history of dark urine, general malaise, and progressive shortness of breath. He had a history of rheumatic heart disease and had been on warfarin since he had a metallic mitral valve replacement in 1984. He was a retired teacher, drank a minimal amount of alcohol, and was a non-smoker. He had no family history of cancer.  
feeds.bmj.com
over 4 years ago
Www.bmj
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A man with rust coloured urine and normocytic anaemia

A 65 year old man presented to the emergency department with a 10 day history of dark urine, general malaise, and progressive shortness of breath. He had a history of rheumatic heart disease and had been on warfarin since he had a metallic mitral valve replacement in 1984. He was a retired teacher, drank a minimal amount of alcohol, and was a non-smoker. He had no family history of cancer.  
feeds.bmj.com
over 4 years ago
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A man with rust coloured urine and normocytic anaemia

A 65 year old man presented to the emergency department with a 10 day history of dark urine, general malaise, and progressive shortness of breath. He had a history of rheumatic heart disease and had been on warfarin since he had a metallic mitral valve replacement in 1984. He was a retired teacher, drank a minimal amount of alcohol, and was a non-smoker. He had no family history of cancer.  
feeds.bmj.com
over 4 years ago
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15

A man with rust coloured urine and normocytic anaemia

A 65 year old man presented to the emergency department with a 10 day history of dark urine, general malaise, and progressive shortness of breath. He had a history of rheumatic heart disease and had been on warfarin since he had a metallic mitral valve replacement in 1984. He was a retired teacher, drank a minimal amount of alcohol, and was a non-smoker. He had no family history of cancer.  
feeds.bmj.com
over 4 years ago
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5

A man with rust coloured urine and normocytic anaemia

A 65 year old man presented to the emergency department with a 10 day history of dark urine, general malaise, and progressive shortness of breath. He had a history of rheumatic heart disease and had been on warfarin since he had a metallic mitral valve replacement in 1984. He was a retired teacher, drank a minimal amount of alcohol, and was a non-smoker. He had no family history of cancer.  
feeds.bmj.com
over 4 years ago
Www.bmj
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An unusual case of severe anaemia and lymphocytosis

An 83 year old man was referred to the haematology clinic with a three week history of fatigue and shortness of breath on exertion. His symptoms had progressively worsened and on the day of review he felt breathless at rest. He had noted that he bruised easily over his arms and had recently been admitted for recurrent chest infections that required intravenous antibiotics. He had also lost 5 kg in weight during the past month.  
feeds.bmj.com
over 4 years ago
Www.bmj
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42

An unusual case of severe anaemia and lymphocytosis

An 83 year old man was referred to the haematology clinic with a three week history of fatigue and shortness of breath on exertion. His symptoms had progressively worsened and on the day of review he felt breathless at rest. He had noted that he bruised easily over his arms and had recently been admitted for recurrent chest infections that required intravenous antibiotics. He had also lost 5 kg in weight during the past month.  
feeds.bmj.com
over 4 years ago
Www.bmj
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21

An unusual case of severe anaemia and lymphocytosis

An 83 year old man was referred to the haematology clinic with a three week history of fatigue and shortness of breath on exertion. His symptoms had progressively worsened and on the day of review he felt breathless at rest. He had noted that he bruised easily over his arms and had recently been admitted for recurrent chest infections that required intravenous antibiotics. He had also lost 5 kg in weight during the past month.  
feeds.bmj.com
over 4 years ago
Www.bmj
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A puzzling airway problem

A fit and well 11 month old girl who was living with her single mother and 3 year old brother presented to the emergency department with acute shortness of breath and cough. Her mother had not witnessed any episodes of foreign body inhalation. A diagnosis of bronchiolitis was made and the child was discharged after oxygen therapy and observation. One week later she presented with the same symptoms and signs. Chest radiography was performed and was reported as normal. Again she was diagnosed and treated for bronchiolitis and made a complete recovery.  
feeds.bmj.com
over 4 years ago
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A case of breathlessness

A 62 year old woman was referred to hospital by her general practitioner because of a few days history of progressive shortness of breath. She had associated fever but no cough or sputum production. Her medical history included rheumatoid arthritis, for which she had been taking methotrexate for the past 12 years.  
feeds.bmj.com
over 4 years ago
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A case of breathlessness

A 62 year old woman was referred to hospital by her general practitioner because of a few days history of progressive shortness of breath. She had associated fever but no cough or sputum production. Her medical history included rheumatoid arthritis, for which she had been taking methotrexate for the past 12 years.  
feeds.bmj.com
over 4 years ago
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A case of breathlessness

A 62 year old woman was referred to hospital by her general practitioner because of a few days history of progressive shortness of breath. She had associated fever but no cough or sputum production. Her medical history included rheumatoid arthritis, for which she had been taking methotrexate for the past 12 years.  
feeds.bmj.com
over 4 years ago
Www.bmj
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An elderly woman with chest pain and constipation

An 89 year old woman with chronic obstructive pulmonary disease presented to the emergency department with worsening shortness of breath (87% oxygen saturation in room air), retrosternal chest pain, mild abdominal pain, and subacute partial bowel obstruction over the past six days. On physical examination she was dehydrated and she had tachycardia (105 beats/min), diffusely decreased breath sounds, audible crackles at the base of the right lung, and absent breath sounds on the left side pulmonary base. Her abdomen was distended but soft overall, the epigastrium and right hypochondium were slightly tender on deep palpation, and her rectum was empty. Her blood pressure was 130/85 mm Hg. Electrocardiography and troponin (measured at admittance and checked again after six and 12 hours) excluded myocardial infarction. Laboratory studies were unremarkable except for a mild microcytic anaemia (haemoglobin 115 g/L (reference range 120-160), mean cell volume 78.6 fL (80-96). Urgent chest radiography was requested (fig 1⇓).  
feeds.bmj.com
over 4 years ago
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A man with generalised lymphadenopathy

A 75 year old man with Paget’s disease, hypercholesterolaemia, and hypertension presented with a three year history of multiple neck lumps, which had never been investigated and had increased in size over the past two months. He felt generally well and had no history of fever or weight loss. His appetite was normal and there was no change in bowel habit. Clinical examination showed no abnormalities and he had no shortness of breath, chest pain, lower limb oedema, joint pains, or neurological symptoms.  
feeds.bmj.com
over 4 years ago
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Treatment for women with iron deficiency anaemia after childbirth | Cochrane

Anaemia is a condition where the blood contains less than normal haemoglobin (low blood count), as shown in blood tests. Haemoglobin is the molecule within red blood cells that requires iron to carry oxygen. Insufficient iron intake/uptake and iron loss (bleeding) can cause iron deficiency anaemia. Anaemia symptoms include tiredness, shortness of breath and dizziness. Women may bleed severely at childbirth and many pregnant women already have anaemia, which can worsen as a result of bleeding. Severe anaemia can be linked to maternal deaths. Iron deficiency anaemia after childbirth is more likely to occur in low-income countries.  
cochrane.org
over 4 years ago
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High Altitude Pulmonary Edema: Diagnosis, Management, and Preventive Strategies - emdocs

The patient with shortness of breath and cough at altitude: How can EM physicians optimize care and outcomes?  
emdocs.net
over 4 years ago