scholarly journals A young patient with heart failure – picture Quiz Question

2012 ◽  
Vol 11 (1) ◽  
pp. 28-28
Author(s):  
H Patel ◽  
◽  
G Dhillon ◽  
A Bandali ◽  
Neil Patel ◽  
...  
Keyword(s):  
Heart Failure ◽  
Case Report ◽  
Chest Pain ◽  
Young Patient ◽  
Loss Of Consciousness ◽  
Productive Cough ◽  
Shortness Of Breath ◽  
Pleuritic Chest Pain ◽  
History Of

Case report A 28 year old gentleman presented after an episode of collapse with loss of consciousness. He gave a history of non-specific malaise and myalgia over the previous 7 days, with fever, a generalised rash and a non productive cough. He developed progressive shortness of breath with sharp, pleuritic chest pain that was unresponsive to antibiotics in the community.

scholarly journals Left Ventricular Thrombus as a Complication of Clozapine-Induced Cardiomyopathy: A Case Report and Brief Literature Review

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Shahbaz A. Malik ◽  
Sarah Malik ◽  
Taylor F. Dowsley ◽  
Balwinder Singh
Keyword(s):  
Heart Failure ◽  
Case Report ◽  
Chest Pain ◽  
New Left ◽  
Left Ventricular ◽  
Heart Failure Therapy ◽  
Bundle Branch Block ◽  
Ventricular Thrombus ◽  
First Case ◽  
History Of

A 48-year-old male with history of schizoaffective disorder on clozapine presented with chest pain, dyspnea, and new left bundle branch block. He underwent coronary angiography, which revealed no atherosclerosis. The patient’s workup was unrevealing for a cause for the cardiomyopathy and thus it was thought that clozapine was the offending agent. The patient was taken off clozapine and started on guideline directed heart failure therapy. During the course of hospitalization, he was also discovered to have a left ventricular (LV) thrombus for which he received anticoagulation. To our knowledge, this is the first case report of clozapine-induced cardiomyopathy complicated by a LV thrombus.

scholarly journals Woman with dyspnea and history of systemic lupus erythematosus

2021 ◽  
Vol 2 (4) ◽  
Author(s):  
Nicolas Kahl ◽  
◽  
Sukhdeep Singh ◽  
Jessica Oswald ◽  
◽  
...  
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Emergency Department ◽  
Chest Pain ◽  
Lupus Erythematosus ◽  
Lower Leg ◽  
Shortness Of Breath ◽  
Pleuritic Chest Pain ◽  
Systemic Lupus ◽  
Blood Clots ◽  
History Of

32-year-old woman with history of pleurisy and systemic lupus erythematosus presented to the emergency department with shortness of breath and pleuritic chest pain, acutely worse over one day after a six hour flight three days prior. She became dyspneic walking from her hotel bed to the bathroom. She endorsed 3 weeks of right lower leg cramping. She denied history of blood clots. She appeared tachypneic and speaking in short phrases upon arrival. A bedside ultrasound was performed, see Figures. Vitals: T: 98.3 F, HR: 130, BP: 142/88, RR: 24, oxygen saturation 97% on room air.

scholarly journals A Rapidly Progressing Pleural Effusion within 24 Hours: A Case Report

2021 ◽  
Author(s):  
Bassem Alhariri ◽  
Ayisha Ameen ◽  
Abdulqadir Nashwan
Keyword(s):  
Case Report ◽  
Chest Pain ◽  
Pleural Effusion ◽  
Shoulder Pain ◽  
Left Shoulder ◽  
Shortness Of Breath ◽  
Pleuritic Chest Pain

Patients with pleural effusion are mostly presenting with shortness of breath and pleuritic chest pain. This report describes a case of PE who presented with left shoulder pain and was found to have rapidly accumulating massive effusion within 24 hours of presentation. Thoracocentesis was performed a showed an exudative picture

scholarly journals The Forgotten Valve, Isolated Pulmonic Valve Endocarditis, a Rare Case Report

2020 ◽  
Vol 5 (5) ◽  
Keyword(s):  
Case Report ◽  
Chest Pain ◽  
Rare Case ◽  
Pulmonary Valve ◽  
Sudden Onset ◽  
Shortness Of Breath ◽  
Past Medical History ◽  
Pulmonic Valve ◽  
Rare Case Report ◽  
History Of

Of the four cardiac valves, the pulmonic valve is the least suspected in most pathologies when one thinks of endocarditis, pulmonary valve is hardly considered. We can call it a “forgotten valve”. Isolated pulmonary valve endocarditis has less than 100 reported cases [1]. We present a case of isolated pulmonary valve endocarditis in a 27-year-old male with past medical history of IVDA, who presented to the hospital with sudden onset of chest pain and shortness of breath.

Pulmonary Embolism in a 14-Year-Old Following an Elective Abortion

PEDIATRICS ◽  
1981 ◽  
Vol 68 (4) ◽  
pp. 584-586
Author(s):  
Robert Nudelman ◽  
Lincoln Best ◽  
Susan Tharp
Keyword(s):  
United States ◽  
Pulmonary Embolism ◽  
Case Report ◽  
Chest Pain ◽  
Potential Problem ◽  
The United States ◽  
Pleuritic Chest Pain ◽  
Elective Abortion ◽  
History Of ◽  
Adolescent Pregnancies

In the United States 300,000 or more adolescent pregnancies are terminated annually by legal abortions.1,2 Pulmonary embolism is an infrequent, yet known, complication of this procedure.3 To increase the awareness of this potential problem in pediatrics, we report the case of a 14-year-old girl with radiologically documented pulmonary embolism associated with a prior elective abortion. CASE REPORT A black 14-year-old gravida 2, para 1, abortus 1 was seen at the emergency room of another hospital with a four-day history of increasing left-sided pleuritic chest pain. During the first two days of her illness, the patient also complained of shaking chills and fever.

Rare presentation of atrial myxoma: chest pain, dysphagia and left upper extremity weakness

2021 ◽  
Vol 14 (3) ◽  
pp. e225460
Author(s):  
Remy Waddel Zock a Zock ◽  
Fernando Boccalandro
Keyword(s):  
Heart Failure ◽  
Chest Pain ◽  
Complete Resolution ◽  
Atrial Myxoma ◽  
Shortness Of Breath ◽  
Imaging Studies ◽  
Recumbent Position ◽  
Rare Presentation ◽  
History Of ◽  
Heart Tumour

Atrial myxoma is a benign primary heart tumour, which can be found incidentally on imaging studies. It is usually located in the left atrium and may manifest as dyspnoea, chest pain, heart failure, cough, shortness of breath when rising from a recumbent position, haemoptysis, hoarseness and as a source of cardiac embolism. However, dysphagia caused by an atrial myxoma has been reported only twice in the literature. We present a 53-year-old Caucasian man with a chronic history of dysphagia caused by an atrial myxoma, in which surgical resection resulted in complete resolution of his dysphagia.

Idiopathic subglottic stenosis in a young female patient

2021 ◽  
Vol 14 (5) ◽  
pp. e241525
Author(s):  
Benjamin Pomerantz ◽  
Michael Pomerantz ◽  
Arkadiy Finn
Keyword(s):  
Balloon Dilatation ◽  
Young Female ◽  
Rigid Bronchoscopy ◽  
Pulmonary Function Testing ◽  
Subglottic Stenosis ◽  
Productive Cough ◽  
Shortness Of Breath ◽  
History Of ◽  
One Year ◽  
Function Testing

A previously healthy 30-year-old woman presented with 3 years of progressive shortness of breath and audible wheezing. One year prior to presentation, she developed a chronic non-productive cough. Pulmonary function testing revealed flattened inspiratory and expiratory peaks, characteristic of an extrathoracic fixed tracheal obstruction. Bronchoscopy confirmed subglottic stenosis (SGS). She had no history of intubation, tracheostomy or evidence of a systemic inflammatory illness. She was diagnosed with idiopathic SGS and referred for rigid bronchoscopy with balloon dilatation resulting in improvement in her symptoms.

A rare case of spontaneous haemothorax in patient with haemophilia A

2021 ◽  
Vol 14 (4) ◽  
pp. e242412
Author(s):  
Suthaphong Tripoppoom ◽  
Nophol Leelayuwatanakul
Keyword(s):  
Chest Pain ◽  
Rare Case ◽  
Rare Event ◽  
Haemophilia A ◽  
Minor Trauma ◽  
Conservative Approach ◽  
Pleuritic Chest Pain ◽  
Good Clinical Outcome ◽  
History Of

Haemorrhage in patients with haemophilia is common after minor trauma but may occur spontaneously. Despite the diversity of bleeding sites, spontaneous haemothorax, on a non-traumatic basis, is an exceedingly rare event and only a few cases had been reported. We present a case of a 43-year-old man with a history of haemophilia A who had pleuritic chest pain for 1 day without significant history of trauma. Diagnostic thoracentesis showed bloody pleural fluid in which neither abnormal cell nor organism was found. He was treated by cryoprecipitate replacement and therapeutic thoracentesis for releasing haemothorax. After discharge, the patient returned for follow-up with complete radiological resolution. Regarding the consequences of retained haemothorax from conservative approach and the procedure-related bleeding of given therapeutic intervention in haemothorax making its management in patients with haemophilia to be more challenging. Our case illustrates a conservative treatment of spontaneous haemothorax in patient with haemophilia resulting in a good clinical outcome.

scholarly journals Derivation of a clinical decision rule for chest radiography in emergency department patients with chest pain and possible acute coronary syndrome

CJEM ◽  
2010 ◽  
Vol 12 (02) ◽  
pp. 128-134 ◽  
Author(s):  
Erik P. Hess ◽  
Jeffrey J. Perry ◽  
Pam Ladouceur ◽  
George A. Wells ◽  
Ian G. Stiell
Keyword(s):  
Heart Failure ◽  
Emergency Department ◽  
Congestive Heart Failure ◽  
Chest Pain ◽  
Chest Radiography ◽  
Clinical Decision ◽  
Chest Radiographs ◽  
Clinical Decision Rule ◽  
Coronary Syndrome ◽  
History Of

ABSTRACTObjective:We derived a clinical decision rule to determine which emergency department (ED) patients with chest pain and possible acute coronary syndrome (ACS) require chest radiography.Methods:We prospectively enrolled patients over 24 years of age with a primary complaint of chest pain and possible ACS over a 6-month period. Emergency physicians completed standardized clinical assessments and ordered chest radiographs as appropriate. Two blinded investigators independently classified chest radiographs as “normal,” “abnormal not requiring intervention” and “abnormal requiring intervention,” based on review of the radiology report and the medical record. The primary outcome was abnormality of chest radiographs requiring acute intervention. Analyses included interrater reliability assessment (with κ statistics), univariate analyses and recursive partitioning.Results:We enrolled 529 patients during the study period between Jul. 1, 2007, and Dec. 31, 2007. Patients had a mean age of 59.9 years, 60.3% were male, 4.0% had a history of congestive heart failure and 21.9% had a history of acute myocardial infarction. Only 2.1% (95% confidence interval [CI] 1.1%–3.8%) of patients had radiographic abnormality of the chest requiring acute intervention. The κ statistic for chest radiograph classification was 0.81 (95% CI 0.66–0.95). We derived the following rule: patients can forgo chest radiography if they have no history of congestive heart failure, no history of smoking and no abnormalities on lung auscultation. The rule was 100% sensitive (95% CI 32.0%–10.4%) and 36.1% specific (95% CI 32.0%–40.4%).Conclusion:This rule has potential to reduce health care costs and enhance ED patient flow. It requires validation in an independent patient population before introduction into clinical practice.

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