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The first things that come to mind are the usual causes of respiratory distress, such as pneumonia, congestive heart failure, or a pulmonary embolus.
Two days before admission she noticed chest congestion, a cough productive of yellow sputum, and shortness of breath, which progressed until she could no longer talk. While receiving oxygen in the emergency department, she could communicate with difficulty, but she said that she had not previously had any similar symptoms, chest pain, or asthma.
Commentary
Source Information
From the Divisions of Clinical Decision Making and General Internal Medicine, New England Medical Center, Tufts University School of Medicine, Boston.
References
Related Letters:
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Craner J., Jobe R. B., Pauker S. G., Kopelman R. I.
Extract |
Full Text
N Engl J Med 1993;
328:1790-1791, Jun 17, 1993.
Correspondence
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