Postgrad Med J 2001;77:601-602
( September )
Self assessment questions
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Answers on p 607.Answers on p XXX.
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Stridor, malaise, and visual loss in a woman from Sierra Leone
S E Brice, M D Oldfield, R Barker
King's College
Hospital, London, UK
Correspondence to: Dr S E Brice, Department of Care of the Elderly, Hemel Hempstead
General Hospital, Hillfield Road, Hemel Hempstead, Herts HP2 4AD, UK
sarah.brice@talk21.com
Submitted 17 April
2000;
Accepted 19 July 2000
| The first 150 words of the full text of this article appear below. |
A 20 year woman from Sierra Leone,
presented with a three week history of pain and blurred vision in her
left eye. She reported feeling unwell for one month with malaise,
anorexia, weight loss, and night sweats. Her general practitioner had
recently diagnosed asthma as she had been short of breath on exertion,
and she had a dry cough. She was a non-smoker on no other medication.
On examination she was thin, alert, and apyrexial. She had no rash or
lymphadenopathy. Her respiratory rate was 20 breaths/min, and her
trachea was central. On auscultation she had inspiratory stridor, with
a peak expiratory flow rate of 240 l/min, and oxygen saturations on air
that fell from 94% to 78% on exertion. Cardiovascular and abdominal
examinations were unremarkable except for a tattoo on her abdomen.
Visual acuity was light-dark discrimination in the left and 6/6 in the
right. Colour perception was maintained, and fundoscopy was . . . [Full text of this article]
