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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 50-Year-Old Woman With Dyspnea, Lower Extremity Edema, and Volume Loss of the Right Hemithorax

Eugene Shostak, MD; Akmal Sarwar, MD, FCCP
Author and Funding Information

From the Departments of Internal Medicine (Dr. Shostak) and Pulmonary and Critical Care Medicine (Dr. Sarwar), Lahey Clinic Medical Center, Burlington, MA.

Akmal Sarwar, MD, FCCP, Lahey Clinic Medical Center, 41 Mall Rd, Burlington, MA 01805; e-mail: akmal.sarwar@lahey.org


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;136(2):628-632. doi:10.1378/chest.09-0080
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Extract

A 50-year-old woman was admitted to the hospital for further workup of symptoms of progressive shortness of breath and lower extremity edema. Over the past 6 months leading up to her hospital admission, she became virtually incapacitated by shortness of breath. She also complained of weight gain and ankle swelling. Her exercise tolerance was reduced to walking several feet at a time. She received therapy with an inhaler and a short course of steroids with taper from her primary care doctor, but her condition did not improve.

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