Subject(s)
Angiography/statistics & numerical data , Incidental Findings , Pulmonary Embolism/diagnostic imaging , Solitary Pulmonary Nodule/diagnostic imaging , Tomography, X-Ray Computed/statistics & numerical data , Workload , Cohort Studies , Humans , Pulmonary Embolism/complications , Retrospective Studies , Solitary Pulmonary Nodule/complications , Solitary Pulmonary Nodule/epidemiologyABSTRACT
A 73-year-old former smoker with previous occupational exposure to asbestos presented with a pneumothorax that was initially managed by simple aspiration. Despite this, it re-accumulated and a bronchopleural fistula was suspected. A video-assisted thoracoscopic procedure was performed and revealed an abnormally thickened pleura that turned out to be a mesothelioma. All persistent pneumothoraces should be investigated.
Subject(s)
Hydropneumothorax/diagnosis , Hydropneumothorax/prevention & control , Mesothelioma/diagnosis , Pleural Neoplasms/diagnosis , Aged , Asbestos/toxicity , Diagnosis, Differential , Humans , Hydropneumothorax/etiology , Male , Mesothelioma/etiology , Occupational Exposure , Pleural Neoplasms/etiology , Recurrence , Thoracic Surgery, Video-Assisted , Tomography, X-Ray ComputedSubject(s)
Disease Notification , Tuberculosis/epidemiology , Female , Humans , Male , United Kingdom/epidemiologyABSTRACT
A 25-year-old pregnant patient developed life-threatening asthma refractory to all standard treatment including anaesthetic agents. Ventilatory pressures continued to rise with impending cardio-respiratory arrest. The introduction of nebulised endotracheal DNase however resulted in a rapid and dramatic improvement with good clinical outcome.
Subject(s)
Asthma/drug therapy , Deoxyribonucleases/administration & dosage , Nebulizers and Vaporizers , Adult , Female , Humans , Pregnancy , Treatment OutcomeABSTRACT
We report the case of a 19 year old man with cystic fibrosis (CF) who presented with atypical abdominal pain precipitated by pressing his ribs. This was subsequently discovered to be referred pain from an intercostal schwannoma. Surgical resection led to a resolution of his symptoms.
Subject(s)
Abdominal Pain/etiology , Cystic Fibrosis/complications , Neurilemmoma/diagnostic imaging , Thoracic Neoplasms/diagnostic imaging , Adult , Diagnosis, Differential , Humans , Male , Neurilemmoma/surgery , Thoracic Neoplasms/surgery , UltrasonographySubject(s)
Cardiac Tamponade/etiology , Catheterization, Central Venous/instrumentation , Catheters, Indwelling/adverse effects , Renal Dialysis/instrumentation , Cardiac Tamponade/diagnostic imaging , Catheterization, Central Venous/adverse effects , Humans , Jugular Veins , Radiography, Thoracic , Renal Insufficiency/therapy , Risk FactorsSubject(s)
Anti-Arrhythmia Agents/adverse effects , Atrial Fibrillation/drug therapy , Sotalol/adverse effects , Verapamil/adverse effects , Bradycardia/chemically induced , Digoxin/adverse effects , Drug Interactions , Electrocardiography , Female , Humans , Hypotension/chemically induced , Middle Aged , Time FactorsSubject(s)
Kidney Failure, Chronic/complications , Tuberculin Test , Tuberculosis/diagnosis , Tuberculosis/epidemiology , Antitubercular Agents/pharmacology , Humans , Immunoassay , Kidney Failure, Chronic/diagnosis , Kidney Failure, Chronic/microbiology , Molecular Diagnostic Techniques , Mycobacterium tuberculosis/metabolism , Sensitivity and Specificity , Tuberculosis/complicationsABSTRACT
A 69-year-old man who had a left pneumonectomy for nonsmall cell lung cancer had a bronchopulmonary fistula develop that recurred after surgical closure. He had multiple organ failure develop precluding further operative intervention. Successful resolution of the fistula was achieved using a novel application of a covered expandable metallic stent.
