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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 53-Year-Old Woman With Chronic Pain and Progressive Dyspnea and Cough

Leanne K. Strack, DO; Scott K. Aberegg, MD, MPH, FCCP
Author and Funding Information

*From the Division of Pulmonary, Allergy, Critical Care, and Sleep Medicine, The Ohio State University Medical Center, Columbus, OH.

Correspondence to: Leanne K. Strack, DO, The Ohio State University, 473 W 12th Ave, DHLRI 201, Columbus, OH 43210; e-mail: leanne.strack@osumc.edu


Dr. Strack has no financial disclosures or conflicts of interest to disclose. Dr. Aberegg participates in the Lilly speaker's bureau.

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


© 2009 American College of Chest Physicians


Chest. 2009;135(5):1380-1383. doi:10.1378/chest.08-2340
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Extract

A 53-year-old woman was admitted to the hospital with a complaint of progressive shortness of breath. Two years prior, she had been treated for pneumonia but still complained of a chronic nonproductive cough. She had been followed up for > 2 years by serial CT scans for a pneumonitis, which was presumed by her primary care physician and rheumatologist to be secondary to her history of systemic lupus erythematosus. Her remaining medical history was significant for COPD, congestive heart failure, chronic pain, venothromboembolic disease, anxiety, depression, and chronic nausea. She had an indwelling central venous catheter for promethazine administration as a treatment for her chronic nausea and vomiting. She denied illicit drug use, but was receiving therapy with oral hydromorphone for chronic pain. Her other medications included prednisone, esomperazole, alprazolam, warfarin, and escitalopram.

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