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
URGENT HELP NEEDED for a diagnosis based on patient history and examination results. Watch
- Thread Starter
- 16-08-2013 01:32
- 16-08-2013 08:17
Why don't you tell us what your differential diagnoses are, and we can tell you if you're going along the right track.