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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 344:212-220 January 18, 2001 Number 3
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Case 2-2001— A 42-Year-Old Woman with Acute Worsening of Chronic Dyspnea and Cough
Carl B. Sherter, and Eugene J. Mark

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Presentation of Case

A 42-year-old woman was admitted to another hospital because of worsening dyspnea and cough.

During the year before admission, the patient had had mild dyspnea on exertion, a cough that was occasionally productive of whitish mucus, slight fatigue, and a weight loss of 7 kg. Three weeks before admission, the dyspnea and cough suddenly worsened and were accompanied by fever. Use of a codeine–guaifenesin cough syrup was ineffective. The patient came to the emergency room.

The patient worked at a sedentary occupation, without known exposure to industrial dusts. She had smoked one and a half packs of cigarettes daily for . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Carl B. Sherter's Diagnosis

Pathological Discussion

Anatomical Diagnosis

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