HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS REGISTER		Author Keyword(s) Vol Page [Advanced]

This Article Full Text Full Text (PDF) Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Email this link to a friend Similar articles in this journal Similar articles in PubMed Add article to my folders Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Fisher, A A Articles by Davis, M W Search for Related Content PubMed PubMed Citation Articles by Fisher, A A Articles by Davis, M W Topic Collections Relevant Article

An elderly man with chest pain, shortness of breath, and constipation

Department of Geriatric Medicine, Canberra Hospital and Canberra Clinical School of the University of Sydney, Australia

Correspondence to:
Correspondence to: Dr Michael W Davis, Department of Geriatric Medicine, Canberra Hospital, PO Box 11 Woden ACT 2606, Australia; michaelw.davis@act.gov.au

Submitted 19 June 2002
Accepted 25 November 2002

Keywords: intestinal hepatodiaphragmatic interposition; Chilaiditi’s syndrome; chest pain; breathlessness

The first 150 words of the full text of this article appear below.

An 81 year old man was admitted to hospital with fractured neck of his right femur. From the 11th day after surgery he developed recurrent episodes of retrosternal and right lower chest pain associated with shortness of breath, sweating, nausea, and hiccup; the pain was aggravated by deep breathing. He had four such episodes in three days while walking with a frame. On each occasion he was given glyceryl trinitrate (600 µg sublingually). The pain lasted from 30 minutes to two hours and was relieved in the supine position. He was constipated for five days. His past medical history included ischaemic heart disease with coronary artery bypass three years earlier but no angina since, stomach surgery for bleeding peptic ulcer (10 years previously), bilateral total knee replacements (two years previously), bladder cancer, and a long history of constipation. He never smoked and used alcohol only occasionally. His regular . . . [Full text of this article]

Relevant Article

An elderly man with chest pain, shortness of breath, and constipation
Postgrad. Med. J. 2003 79: 183-184. [Extract] [Full Text] [PDF]