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Signs and Symptoms of Chest Diseases: Student/Resident Case Report Poster - Signs and Symptoms of Chest Disease |

Failing All Therapy for COPD: Time to Think Outside the Box

Robert Brammer, MD; Kumar Vipul, MD
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Wellspan York Hospital, York, PA


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):1249A. doi:10.1016/j.chest.2016.08.1362
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SESSION TITLE: Student/Resident Case Report Poster - Signs and Symptoms of Chest Disease

SESSION TYPE: Student/Resident Case Report Poster

PRESENTED ON: Tuesday, October 25, 2016 at 01:30 PM - 02:30 PM

INTRODUCTION: Dyspnea and worsening cough in a patient with prolonged history of smoking leads clinicians toward the diagnosis and treatment of COPD. When escalating therapy of COPD does not lead to recovery, alternative diagnoses should be sought. A rare complication of left sided thoracotomy for hiatal hernia repair is intercostal lung herniation. Without correction, patients are prone to recurrent pulmonary infections masquerading as an acute exacerbation of COPD and lung parenchyma incarceration may cause sepsis.

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