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

A Middle-Aged Man With Cough, Chest Pain, and Pulmonary Artery Filling DefectA Middle-Aged Man With Cough and Chest Pain

Hidenobu Shigemitsu, MD, FCCP; Ngozi Orjioke, MD; Jabi E. Shriki, MD; John Varras, MD; Michael N. Koss, MD
Author and Funding Information

From the Department of Medicine (Drs Shigemitsu and Varras), University of Nevada School of Medicine, Las Vegas, NV; and Division of Pulmonary and Critical Care Medicine (Drs Shigemitsu and Orjioke), Department of Radiology (Dr Shriki), and Department of Pathology (Dr Koss), Keck School of Medicine, University of Southern California, Los Angeles, CA.

Correspondence to: Hidenobu Shigemitsu, MD, FCCP, Division of Pulmonary and Critical Care Medicine, University of Nevada School of Medicine, 2040 W Charleston Blvd, Ste 300, Las Vegas, NV 89102; e-mail: hshigemi@gmail.com


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


Chest. 2014;145(2):407-410. doi:10.1378/chest.13-1488
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Extract

A middle-aged man with no past medical history presented to the ED after 2 weeks of productive cough, rhinorrhea, high-grade fevers, and chills. He had been treated with ibuprofen, promethazine cough syrup, and albuterol as an outpatient without any relief. He had associated dull, nonradiating anterior chest wall pain and unintentional weight loss of 10 lb during the course of his illness. On evaluation, he was noted to speak in short sentences of four to five words with labored breathing.

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