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Postgraduate Medical Journal 2003;79:243
© 2003 Fellowship of Postgraduate Medicine

SELF ASSESSMENT QUESTION

Respiratory medicine

Dyspnoea and a subcutaneous swelling

H Ansari 1, R Bell 2

1 Department of Endocrinology, University Hospital, Coventry And Warwickshire
2 University Hospital, Coventry And Warwickshire

Correspondence to:
Correspondence to:
Dr Ansari;
doctorkhan@hotmail.com

Submitted 10 June 2002
Accepted 27 August 2002

Answers on 245.

Keywords: malignant mesothelioma; dyspnoea; subcutaneous swelling

The first 100% of the full text of this article appears below.

An 81 year old electrician was admitted with exertional dyspnoea and weight loss. His exercise tolerance was decreased to 50 yards. He did not smoke, and denied chest pain or haemoptysis. On examination there were decreased movements of the left hemithorax, decreased left sided air entry and was dull to percuss.


QUESTIONS

  1. What does the initial radiograph show (fig 1Go)?
  2. What does the radiograph after the chest drain demonstrate (fig 2Go)?
  3. What is its significance?
  4. What is shown on the chest photograph (fig 3Go)?
  5. What is the unifying diagnosis?


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  		Figure 1 Presenting chest radiograph.

 

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  		Figure 2 Radiograph after chest drain.

 

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  		Figure 3 Site of chest drain.

 


Relevant Article

Dyspnoea and a subcutaneous swelling
Postgrad. Med. J. 2003 79: 245-246. [Extract] [Full Text] [PDF]





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