Volume 18, Issue 2, Pages 61 – 136 (2019)

Shortness of breath: a common symptom with a rare cause

A 51-year old Caucasian male was admitted to the hospital with a history of breathlessness of one month duration. Prior to this he had been well. He complained that the shortness of breath had worsened over the previous 10 days and was associated with fatigue and fever. The antibiotics from his GP did not relieve his symptoms. He denied any cough, sputum or haemoptysis.

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A Chest X-Ray causing confusion

A 91-year old female presented to Acute Medical Unit with a 2 week history of shortness of breath and haemoptysis. Her past medical history included osteoporosis, depression, irritable bowel syndrome, asthma, cataracts, and a colonic polypectomy. Her medications: Citalopram 10 mg, Co-codamol, Beclomethasone 200 mcg inhaler, Salbutamol MDI inhaler, Omeprazole 20 mg and Alendronic acid. She was an ex-smoker with a 20-pack year history who had stopped smoking 40-years ago. She did not drink alcohol and lived alone independently.

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