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URGENT HELP NEEDED for a diagnosis based on patient history and examination results. Watch

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    hiii,

    i was wondering if there is any medical students or doctors out here that may be able to help me.

    i needed a second opinion on a case study of a patient suffering from shortness of breath. i have included the patient history as well and the examination findings and results and would really appreciate it if someone could have a look and give a possible diagnosis based on the results along with other possible differential diagnosis.

    i have included the case study as an word attachment.

    thanks guys, hope someone can get back to asap x




    A 67 year old man (height 180 cm; weight 86 kg; neck girth approx 16.5 inches) with a history of 59 pack years of smoking arrives at the Respiratory Clinic for investigation of his symptoms. He gave up smoking 5 years ago when he started to complain about shortness of breath when he walking on a level surface.
    Over the past while, this shortness of breath has become much worse - he now has to stop every now and then to catch his breath when walking.

    He has a persistent cough with whitish/grey sputum which he feels is hard to shift during winter.

    The results of his Respiratory tests are shown in Figure 1 and Table 1 below.

    Bronchodilator reversibility showed a marked, significant, improvement in his lung function test results.





































































    Normal
    Observed
    % Predicted
    Spirometry



    FVC (L)
    4.79
    2.06

    FEV1 (L/s)
    3.67
    0.56

    FEV1/ FVC %
    77
    27





    Volumes



    TLC (L)
    7.02
    8.64
    123
    RV/TLC %
    32
    69
    216




    DLCO (ml/min/mmHg)
    27
    21
    79

    Table 1: Respiratory Function Tests
    Attached Files
  1. File Type: docxcpatient case study.docx (16.3 KB, 66 views)
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    Why don't you tell us what your differential diagnoses are, and we can tell you if you're going along the right track.
 
 
 
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