Author | Sonia Arunabh, MD

Articles

Wheezing in a 52-Year-Old Woman With a History of Colon Cancer

April 01, 2006

A 52-year-old woman was admitted tothe hospital with progressive shortnessof breath of 2 days’ duration. Bronchialasthma had been diagnosed 6 monthsearlier; inhaled corticosteroids, bronchodilators,and leukotriene antagonistswere prescribed. Despite aggressivetreatment, the patient’s dyspneaand wheezing worsened.

Disseminated Candidiasis

September 14, 2005

A 72-year-old morbidly obese man who had diabetes mellitus was admitted to the hospital from a nursing home with a fever of 4 days' duration. A tracheostomy had been performed 3 months earlier for respiratory failure. The patient was being treated with corticosteroids for chronic obstructive pulmonary disease.

Renal Cell Carcinoma Metastases to the Lung

September 14, 2005

A 2-month history of cough sent a 62-year-old woman for medical evaluation. The patient denied fever, chills, and rigors but reported seeing streaks of blood in her sputum during the past month. The patient had undergone a right nephrectomy 4 years earlier for renal cell carcinoma.

Pulmonary Arteriovenous Malformations

September 14, 2005

Having suffered progressive shortness of breath for 2 years, a 35-year-old man was eventually hospitalized. The patient's dyspnea had worsened over the past year, but he had neither chest pain nor palpitations. His primary care physician first noticed finger clubbing 8 months ago.

Intrathoracic Goiter

September 14, 2005

A 69-year-old woman was admitted to the hospital with wheezing and dyspnea. She also complained of hoarseness and slight dysphagia that had caused a loss of 12 lb during the past 4 months. The patient had been treated for bronchial asthma as an outpatient, but the worsening episodes of wheezing were not being controlled by bronchodilator therapy.

Squamous Cell Carcinoma of the Lung

September 14, 2005

Over the past 6 months, a 72-year-old man was troubled by a persistent cough; he also had lost 9 kg (20 lb). He had no fever or chills, but he noticed mild streaking of blood in his sputum during the past month. He had been a cigarette smoker for 50 years.

Endobronchial Metastatic Disease

September 14, 2005

Persistent collapse of the right lung led to hospitalization of a 62-year-old woman with a history of colon cancer. She had no fever, chills, rigor, or hemoptysis. The patient underwent bronchoscopy to rule out any central endobronchial obstructing lesion.

Multiple Lung Neoplasms

September 14, 2005

For the past 6 weeks, a 72-year-old woman with a history of ovarian cancer had had intensifying dyspnea. Initially, she thought her breathing problem was caused by progressive congestive heart failure.

Gout

September 14, 2005

A 73-year-old man was admitted to the hospital with pain in his hands, feet, and elbows. The patient, an alcoholic, had a 20-year history of hypertension and diabetes. Deformities of the hands and feet had developed during the past 5 years. Tophi were present over both ear lobes. The serum uric acid level was 15 mg/dL.