Interstitial lung disease and weight loss

Autor: Laura Samuel, P D J Handslip, Sadat Edroos
Rok vydání: 2005
Předmět:
Zdroj: BMJ. 331:0509324
ISSN: 1756-1833
DOI: 10.1136/sbmj.0509324
Popis: A 52 year old man presented to the outpatients' department with dyspnoea, dry cough, and weight loss. The breathlessness had progressed over two years. Also 41 kg of weight loss in 12 months was concerning. In seeking a cause for this, he underwent bronchoscopy two weeks before his outpatients' appointment, and since then his breathlessness had rapidly worsened. At the consultation he was unable to complete a sentence and was in a wheelchair. 1. What is the main abnormality shown in the figure? Suggest some causes. 2. What would you expect to find on examination? What is the immediate management? 3. What are the differentials for the chronic aspect of this presentation? 4. What risk factors should be identified in the patient's social history? 5. What would you do next? (6) What was the outcome? Chest radiograph on admission 1. There is an absence of lung markings in the left upper zone of the chest radiograph. The …
Databáze: OpenAIRE