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

A 40-Year-Old Woman With Cough and Dyspnea 2 Months After a Motorcycle AccidentA 40-Year-Old Woman With Cough

Paul J. Hoffman, MD; David T. Cooke, MD, FCCP; Amir A. Zeki, MD; Hugh Black, MD, FCCP
Author and Funding Information

From the Division of Pulmonary, Critical Care, and Sleep Medicine (Drs Hoffman, Zeki, and Black), and the Section of General Thoracic Surgery (Dr Cooke), University of California, Davis Medical Center, Sacramento, CA.

Correspondence to: Paul Hoffman, MD, UC Davis Medical Center, Division of Pulmonary, Critical Care, and Sleep Medicine, 4150 V St, Ste 3400, Sacramento, CA 95817; e-mail: paul.hoffman@ucdmc.ucdavis.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(5):1720-1723. doi:10.1378/chest.13-0471
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Extract

A 40-year-old woman presented with 6 weeks of dyspnea and nonproductive cough. Two months earlier, she had been hospitalized for 15 days following a high-speed motorcycle accident in which she sustained multiple traumatic injuries. These included facial, cervical vertebral, rib (left first and second, right second and third), pelvic, and tibial fractures as well as pneumomediastinum and a right pneumothorax. That stay was complicated by a prolonged air leak after chest tube thoracostomy with eventual chest tube removal on hospital day nine. Her past medical history included type 2 diabetes mellitus and chronic pain syndrome. Her family history was unremarkable. She was a mother of two with a history of alcohol abuse and tobacco dependence.

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