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Postgraduate Education Corner: Pulmonary, Critical Care, and Sleep Pearls |

An 84-Year-Old Man With Acute Dyspnea and Chronic Radiographic FindingsAn 84-Year-Old Man With Acute Dyspnea

Paras Malhotra, MD; Pralay K. Sarkar, MD; P. S. Sriram, MD, FCCP
Author and Funding Information

From the Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, University of Florida, Gainesville, FL.

Correspondence to: Paras Malhotra, MD, Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, University of Florida, 1600 SW Archer Rd, M452, PO Box 100225, Gainesville, FL 32610-0225; e-mail: paras.malhotra@medicine.ufl.edu


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2013;144(3):1076-1079. doi:10.1378/chest.13-0254
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Extract

An 84-year-old man presented to the ED with acute-onset shortness of breath. He denied cough, sputum production, hemoptysis, wheezing, pleuritic chest pain, fever, leg pain or swelling. He was active and in his normal state of health until the onset of this acute episode of dyspnea. He did not have a history of a recent hospitalization, surgery, or long travel. He denied chronic respiratory symptoms before the current episode. His medical history was unremarkable except for hypothyroidism for which he was taking levothyroxine. The patient had no history of pulmonary TB or fungal infection. He had a 5-pack-year smoking history and quit before age 40 years. He worked as a dental technician for > 40 years.

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