August 2015 pulmonary case of the month: holy sheep

No abstract available. Article truncated after 150 words. History of Present Illness: A 42-year-old woman presented to the emergency department with chest pain and dyspnea. The onset of symptoms was acute, initially endorsing left-sided sharp chest pain which then progressed with dyspnea. Chest radi...

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Bibliographic Details
Published inSouthwest journal of pulmonary & critical care Vol. 11; no. 2; pp. 53 - 58
Main Authors Hall, Jennifer, Baratz, David
Format Journal Article
LanguageEnglish
Published Arizona Thoracic Society 01.08.2015
Subjects
CT scan
cystic lung disease
cysts
diagnosis
histology
LAM
lymphangioleiomyomatosis
pneumothorax
rapaymycin
treatment
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Summary:No abstract available. Article truncated after 150 words. History of Present Illness: A 42-year-old woman presented to the emergency department with chest pain and dyspnea. The onset of symptoms was acute, initially endorsing left-sided sharp chest pain which then progressed with dyspnea. Chest radiograph was read as normal. Laboratory evaluation was notable for an elevated D-Dimer which prompted a thoracic CT scan to be obtained. Past Medical History, Family History, Social History: She had well-controlled rheumatoid arthritis (on no medical therapy) and was diagnosed with emphysema by her PCP two years earlier. Her mother died from pulmonary embolism secondary to underlying lung cancer. She quit smoking 2 years ago with a total of 20-pack-years. Physical Examination: Patient was in mild distress with heart rate of 105, respiratory rate of 22, but otherwise stable, SpO2 was 95% while breathing ambient air. She had diminished breath sounds in both bases, but otherwise her chest was clear to auscultation. The remainder ...
ISSN:2160-6773
2160-6773
DOI:10.13175/swjpcc103-15