ABSTRACT
CASE PRESENTATION: A 56-year-old man with a medical history of diabetes, no prior lung disease, and no tobacco exposure presented with exhaustion and a nonproductive cough 7 days after working in an old farmhouse in Vermont. His friend who worked with him exhibited similar symptoms. He was treated as an outpatient with doxycycline; however, his clinical condition deteriorated and necessitated hospitalization and subsequent intubation.
Subject(s)
Lung Diseases , Humans , Male , Middle Aged , Cough , Diagnosis, Differential , Hypoxia/diagnosis , Hypoxia/etiologyABSTRACT
Asthma in pregnancy is common, and its prevalence is rising. Internists need to be aware of the effects of maternal asthma control on the health of the expectant mother and the baby. With the ever-present worry about medication use and teratogenicity in pregnant women, these patients are often undertreated for their asthma. This review focuses on effects of uncontrolled maternal asthma as well as appropriate management of maternal asthma in the outpatient setting and during exacerbations.
Subject(s)
Asthma/therapy , Disease Management , Pregnancy Complications/therapy , Ambulatory Care , Asthma/physiopathology , Disease Progression , Female , Humans , Pregnancy , Pregnancy Complications/physiopathologySubject(s)
Asthma/diagnosis , Curriculum/standards , Hypertension, Pulmonary/diagnosis , Lung Diseases, Interstitial/diagnosis , Lung Diseases, Obstructive/diagnosis , Pulmonary Medicine/education , Adult , Asthma/therapy , Humans , Hypertension, Pulmonary/therapy , Lung Diseases, Interstitial/therapy , Lung Diseases, Obstructive/therapy , Lung Transplantation/methods , Respiratory Function Tests , Societies, MedicalABSTRACT
Vertebral artery dissection (VAD) is an important cause of stroke in the young. It can present nonspecifically and may be misdiagnosed leading to adverse consequences. Dissections are usually preceded by trauma or mechanical stress; the vascular stressors may be trivial as this condition has been described in association with manipulation and stretching of the neck. Early recognition of VAD is paramount, as timely initiation of appropriate anticoagulation can be crucial in ensuring full recovery. We present a case of self-inflicted vertebral artery dissection complicated by multiple embolic strokes where early treatment with anticoagulation led to a complete neurological recovery.
