Film Quiz: A 59-Year-Old Man Presented with Shortness of Breath

Photo Quiz: A 69-Year-Old Immunosuppressed Male with Chest Pain and Shortness of Breath.

A 65-year-old man with shortness of breath, pleuritic chest pain, and recurrent pneumonia.

Recurrent pulmonary infections are common among patients with chronic obstructive pulmonary disease. Imaging of the thorax beyond a routine chest radiograph, such as computed tomography imaging, should be considered for these patients. Fiberoptic bronchoscopy should also be considered for these patients, especially in cases in which respiratory cultures do not provide guidance for antibiotic th...

A 4-Year-Old Boy With Shortness of Breath

A 4-year-old boy presented to the general practitioner (GP) with a 24-hour history of progressively worsening shortness of breath (SOB). Over this time period, a productive cough and fever had also developed. The patient had no history of respiratory disease and there were no sick contacts. For the last fortnight, however, his mother reported that he has " not been his usual self " : appearing ...

A 54-year-old man with right opaque hemithorax and worsening shortness of breath.

impaired/dull note was appreciated on the right side of the chest. The skin over the right hemithorax was warm and hard to touch. On abdominal examination, there was massive, palpable hepatomegaly which was tender. The remaining examination was unremarkable. Chest X-ray ( fig. 1 ) disclosed an almost complete opacification of the right hemithorax with the mediastinal silhouette being slightly d...

A 62-year-old man presenting with shortness of breath for 6 months.

EDUCATIONAL OBJECTIVES The Clinical Case of the Month is a regular educational feature presented by the Louisiana State University Department of Medicine in New Orleans. Medical students, residents, postdoctoral fellows, and faculty collaborate in the preparation of these discussions. After reading this article, physicians should be able to better identify and understand the prevention, pathoph...