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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 21-Year-Old Woman With Dyspnea and an Abnormal Chest Radiograph

Timothy J. Barreiro, DO, FCCP; David J. Gemmel, PhD
Author and Funding Information

*From the Ohio University College of Osteopathic Medicine (Dr. Barreiro), Youngstown, OH; and St. Elizabeth Health Center (Dr. Gemmel), Youngstown, OH.

Correspondence to: Timothy J. Barreiro, DO, FCCP, Ohio University College of Osteopathic Medicine, Department of Pulmonary and Critical Care Medicine, 925 Trailwood Dr, Youngstown, OH 44514; e-mail: tbarreir@neoucom.edu


The authors have no disclosures of personal or financial support or involvement with organizations with financial interest in the subject matter or any conflicts of interest or sponsorship. The authors verify that this manuscript is not under review by any other journals. All the noted authors have contributed to the making of this manuscript and have no reported disclosures.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/misc/reprints.shtml).


Chest. 2009;135(2):550-553. doi:10.1378/chest.08-1214
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Extract

A 21-year-old woman with no significant medical history presented with a complaint of dyspnea on exertion. She noticed increasing dyspnea when she walked up two flights of steps. She is a lifelong nonsmoker, with no recent travel, pets, street drug use, or HIV risk factors. She denied any recurrent infections, cough, fever, chills, or hemoptysis. She is not receiving treatment with any medications. Her surgical and family histories were negative. The patient was afebrile. Her vital signs were unremarkable, and her oxygen saturation was 99% while breathing room air. A physical examination revealed a well-developed, well-nourished woman in no distress with the following characteristics: the neck was supple without thyromegaly or elevated venous pressure; the chest was symmetrical without dullness to percussion; breath sounds were clear to auscultation; heart beat was regular without murmur; the abdomen was without lymphadenopathy; and the extremities exhibited no muscle weakness or edema.

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