Case1
08/15/11 19:31
Visual Diagnosis by Dr. Cristal Cristia
CC: Cough, abnormal CXR
HPI: A healthy 19yo F presents with 7 months of cough, productive of green sputum, at times with blood, and with a 14lb weight loss over the last year. The patient’s CXR in clinic was “abnormal”, so her PCP instructed her to present to the ED for further workup.
What is wrong with this picture?
What is the diagnosis and treatment of this condition?
Additional Reading:
Nakamura, J Konishiike, A Sugamura and Y Takeno . Epidemiology of spontaneous pneumothorax in women. Chest 1986; 89; 378-382
Guo Y; Xie C; Rodriguez RM; Light RW. Factors related to recurrence of spontaneous pneumothorax, Respirology 2005 Jun;10(3):378-84.
Henry M, Arnold T, Harvey J. BTS guidelines for the management of spontaneous pneumothorax. Thorax 2003; 58(Suppl 2):ii39–ii52.
Baumann MH, Strange C, Heffner JE, et al. Management of spontaneous pneumothorax: an American College of Chest Physicians Delphi consensus statement. Chest 2001; 119: 590–602.
Wait MA; Estrera A. Changing clinical spectrum of spontaneous pneumothorax, Am J Surg 1992 Nov;164(5):528-31.
Burrill J, Williams CJ, Bain G, Conder G, Hine AL, Misra RR. Tuberculosis: a radiologic review. Radiographics 2007 Sep-1. Oct;27(5):1255-73.
CC: Cough, abnormal CXR
HPI: A healthy 19yo F presents with 7 months of cough, productive of green sputum, at times with blood, and with a 14lb weight loss over the last year. The patient’s CXR in clinic was “abnormal”, so her PCP instructed her to present to the ED for further workup.
What is wrong with this picture?
What is the diagnosis and treatment of this condition?
Additional Reading:
Nakamura, J Konishiike, A Sugamura and Y Takeno . Epidemiology of spontaneous pneumothorax in women. Chest 1986; 89; 378-382
Guo Y; Xie C; Rodriguez RM; Light RW. Factors related to recurrence of spontaneous pneumothorax, Respirology 2005 Jun;10(3):378-84.
Henry M, Arnold T, Harvey J. BTS guidelines for the management of spontaneous pneumothorax. Thorax 2003; 58(Suppl 2):ii39–ii52.
Baumann MH, Strange C, Heffner JE, et al. Management of spontaneous pneumothorax: an American College of Chest Physicians Delphi consensus statement. Chest 2001; 119: 590–602.
Wait MA; Estrera A. Changing clinical spectrum of spontaneous pneumothorax, Am J Surg 1992 Nov;164(5):528-31.
Burrill J, Williams CJ, Bain G, Conder G, Hine AL, Misra RR. Tuberculosis: a radiologic review. Radiographics 2007 Sep-1. Oct;27(5):1255-73.