Tag Archives: pulmonary
Bronchoscopy showing pill fragments (arrow) with intense inflammatory granulation response with bronchial stenosis.

Unusual Cause of Persistent Cough: ‘Pill Aspiration’

A 57-year-old woman with carcinoid syndrome was referred to the pulmonary clinic by her primary care physician (PCP) for persistent cough for the past 6 weeks. She was evaluated by her PCP approximately 6 weeks earlier for cough, which the patient thought started after she had aspirated one of her medications. Results from initial clinical […]

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(A) A preoperative picture of our patient with severe obesity and the pressure curve during right heart catheter with a retreat from the right atrium to the femoral vein prior to bariatric surgery. (B) The same patient after bariatric surgery and weight loss of 65 kilograms, with the pressure curve after bariatric surgery.

Vena Cava Compression Syndrome in Obesity is Reversed by Bariatric Surgery

To the Editor: Obesity is a major public health problem, with a prevalence of 10% to 20% in Western Europe.1 It is a risk factor for arterial hypertension, atherosclerosis, and heart failure.2 In times of rising prevalence in obesity, bariatric surgery offers an effective way to achieve weight loss.2 The indication for bariatric surgery is provided by interdisciplinary […]

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(A) Coronal computed tomography demonstrating extensive bilateral ground-glass opacification, most pronounced at the periphery, and anterior lobular septal thickening. (B) Effluent, initially noted to be milky, cleared with progressive saline infusions during lung lavage.

Severe Pulmonary Alveolar Proteinosis in a Young Adult

  Pulmonary alveolar proteinosis is a rare lung disorder characterized by abnormal accumulation of surfactant within alveoli. Clinical presentation is nonspecific, but associated with characteristic radiologic findings and unique management options. We highlight a case of severe pulmonary alveolar proteinosis requiring total lung lavage in a young healthy man. Case Report A 37-year-old man with […]

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Spider graph to depict the effect size values on changes in health-related quality of life and its subscales and dyspnea scores from baseline to 1 year, according to percent-predicted VO2 peak <80% and >80% at 1 year. Concentric circles around the central target represent effect size in mean changes in scores from baseline to 1 year.4 Health-related quality of life and dyspnea scores improved more in patients with percent-predicted VO2 peak >80% at 1 year (distance between central point [0.0] and blue line) compared with patients with percent-predicted VO2 peak <80% at 1 year (distance between central point [0.0] and red line). PEmb-QoL = pulmonary embolism quality of life questionnaire; SF-36 = Short-Form Health Survey-36; SOBQ = University of California at San Diego Shortness of Breath Questionnaire.

Quality of Life, Dyspnea, and Functional Exercise Capacity Following a First Episode of Pulmonary Embolism

We aimed to evaluate health-related quality of life (QOL), dyspnea, and functional exercise capacity during the year following the diagnosis of a first episode of pulmonary embolism. Methods This was a prospective multicenter cohort study of 100 patients with acute pulmonary embolism recruited at 5 Canadian hospitals from 2010-2013. We measured the outcomes QOL (by […]

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Cough Syncope

Although cough is a common clinical symptom, the vasomotor effects on the heart and systemic circulation are often underappreciated. A healthy 42-year-old man without significant medical history presented with repetitive episodes of syncope during coughing. His examination, electrocardiogram, laboratory studies, and echocardiography results were normal, and carotid massage did not provoke any adverse response. During […]

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