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Pulmonary and Critical Care Pearls |

A 39-Year-Old Man With Hip Pain and Respiratory Failure*

Kelly E. Dooley, MD; Saurabh R. Sinha, MD, PhD; Edward Haponik, MD, FCCP; Robin Conwit, MD; Jonathan E. Sevransky, MD
Author and Funding Information

*From the Department of Medicine (Dr. Dooley), Division of Neurology (Drs. Sinha and Conwit), and Division of Pulmonary and Critical Care Medicine (Drs. Haponik and Sevransky), Johns Hopkins University School of Medicine, Baltimore, MD.

Correspondence to: Jonathan E. Sevransky, MD, Division of Pulmonary and Critical Care Medicine, Johns Hopkins Asthma and Allergy Center, 5501 Hopkins Bayview Circle, Suite 4B0.73, Baltimore, MD 21224-6801; e-mail: sevransj@jhmi.edu



Chest. 2002;121(4):1345-1349. doi:10.1378/chest.121.4.1345
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Extract

A 39-year-old man presented with progressive shortness of breath and a 1-day history of decreased urine output. He had a history of mild COPD for which he occasionally used albuterol inhalers. Over the prior 3 months, however, he had developed gradually increasing dyspnea and was using his inhalers several times a day with little relief. He also described 3 months of progressive lower extremity weakness. He had suffered a series of falls, the last resulting in continuous right hip pain. Prior to hospital admission, he had been in bed for 2 months because of weakness and pain. His sister brought him to the emergency department because of dyspnea. He had a 75-pack-year smoking history and a distant history of alcohol abuse.

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