Case summary: A 77-year-old white man with chronic renal insufficiency was evaluated for moderate dyspnea on exertion (DOE). Cardiac and pulmonary workup revealed nonobstructive coronary artery disease and mild obstructive lung disease. The patient had been taking ranolazine 500 mg daily for ...
A 65-year-old Caucasian male with past medical history of prostate cancer status post prostatectomy presented to his primary care provider's office with 1 month of progressive cough, dyspnea upon exertion, and fatigue. The patient was training for a marathon and had noticed a progressive decline...
CASE: A 65 year-old Caucasian male with a history of liver transplant and chronic kidney disease (CKD) presented with a 2-month history of dyspnea on exertion. He initially experienced difficulty breathing while walking uphill, which then progressed to a sensation of shortness of breath (SOB)...
pulmonary, musculoskeletal, or psychiatric illnesses. Key components of the history to collect include onset, duration, and occurrence with rest or exertion. Presence of a cough may indicate the presence of asthma, chronic obstructive pulmonary disease (COPD), or pneumonia. A severely sore throat...
If initial workup is inconclusive, cardiopulmonary exercise testing can be considered. Clinical Calculators A-a Gradient Evaluation reference 1. Parshall MB, Schwartzstein RM, Adams L, et al: An Official American Thoracic Society Statement: Update on the mechanisms, assessment, and management of ...
Case Presentation A previously healthy 39 year old female presented with progressive shortness of breath on exertion, dry cough, fatigue, fevers and hypoxia for the last four months. Her symptoms worsened despite being on several courses of antibiotics. Her past medical history is significant for ...
Case presentation A fifty-one year old previously healthy male presented to the emergency room with complaints of dyspnea on exertion. A cardiac workup including an exercise stress test was negative but an echocardiography showed pulmonary stenosis. Cardiac MRI showed a large mass extending from the...
On admission, 103 patients were given the standard question "Are you short of breath?" followed by 4 Visual Analog Scales of Dyspnea (VASD). These response measures assess the degree of dyspnea in relationship to variable exertion activities on a scale of 0 to 10. All responses to VASD ...
(PE), where it can be the only symptom at rest or during exertion [39], and it often appears disproportionate to the level of blood gases alteration. Interestingly, activation of irritant receptors in asthma has been associated with the specific sensation of chest tightness or constriction, ...