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ACCP-SEEK Board Review Question of the Month |

Respiratory Distress in Woman Who Began Complaining of Dyspnea and Cough 5 Months Ago*

Marvin I. Schwarz
Author and Funding Information

*From the ACCP-SEEK program, reprinted with permission. Items are selected by Department Editors Richard S. Irwin, MD, FCCP, and John G. Weg, MD, FCCP. For additional information about the ACCP-SEEK program, phone 1-847-498-1400.

Correspondence to: Marvin I. Schwarz, MD, FCCP, Pulmonary Sciences and Critical Care Medicine, University of Colorado Health Science Center, 4200 East 9th Ave, Box C272, Denver, CO 80262; e-mail: marvin.schwarz@uchsc.edu



Chest. 2003;124(6):2388-2390. doi:10.1378/chest.124.6.2388
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A 25-year-old woman without a significant medical history was in excellent health until 5 months ago, when she noted mild dyspnea and cough. She was treated with antibiotics but did not improve. Two months before this hospital admission, her dyspnea became severe, the cough persisted, and she had episodes of hemoptysis. She was hospitalized twice and intubated, treated with diuretics, and discharged. Symptoms persisted, and she is now admitted for further evaluation. Her medications include oxygen, furosemide (40 mg bid), diltiazem (180 mg/d), and warfarin (10 mg/d). Medical, social, family, and occupational histories are noncontributory.

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