Severe Dyspnea and Cough

The Medicine Forum

Cartwright, Elizabeth¹  Mellinger Kohl, Traci¹ 

[1] Thomas Jefferson UniversityThomas Jefferson UniversityThomas Jefferson University

关键词: Thomas Jefferson University;    Goodpasture's Syndrome;    Anti-Glomerular Basement Membrane Disease/genetics;    Anti-Glomerular Basement Membrane Disease/immunology;    Cough/drug therapy;    Cough/physiopathology;    Dyspnea/drug therapy;    Dyspnea/physiopathology;    Humans;   

DOI  :  

学科分类：医学（综合）

来源: Thomas Jefferson University

【 摘 要 】

A 43 year-old white male with a history of hypertension and a smoking history of 30 pack-years presented to the emergency room coplaining of cough, severe dyspnea, nausea, and vomiting. Ten days prior to presentation, he experienced flu-like symptoms with a low-grade fever, myalgias, and malaise that lasted approximately four days but resolved spontaneously. He had a cough productive of white sputum and blood-tinged nasal drainage for one week. Three days prior to presentation he began to experience right upper quadrant abdominal pain and bilious vomiting. The patient worked as a bar inspector and had a routine PPD check 9 months prior to presentation which was negative. However, his daughter did have a recent positive screening PPD with a negative chest x-ray.

【 授权许可】

Unknown