101 Cases in Respiratory Medicine

Presented as a large collection of case studies, this book is a complete guide to respiratory medicine for pulmonologists and trainees.

Beginning with an overview of the respiratory system, history taking, and clinical examination, the next chapter discusses clinical data analysis.

The rest of the book is divided into nine sections, each presenting at least eight clinical cases. Topics include: Respiratory Diseases Discovered Accidentally by Chest Radiology, Patients in Emergency with Respiratory Problems, Obstructive Airway Diseases, Respiratory Problems in Intensive Care Unit, Diffuse Parenchymal Lung Diseases, Tuberculosis, Pleural Diseases, Lung Infections, and Thoracic Malignancy.

Each case follows a step by step approach and includes detail on diagnostic errors. X-Rays, CT scans, microscopic figures, and images of key clinical signs, further enhance the comprehensive text.

Key points

• 101 case studies providing clinicians with comprehensive guide to respiratory medicine
• Provides detail on history taking, clinical examination, and clinical data analysis
• Each key topic features at least eight cases
• Highly illustrated with X-rays, CT Scans, microscopic figures, and images of clinical signs

1. Clinical Approach to Respiratory System
2. Clinical Data Analysis
3. Cases

Respiratory Diseases Discovered Accidentally by Chest Radiology
Case 1: Asymptomatic Man with Hilar Calcification
Case 2: Calcification in Solitary Pulmonary Nodule
Case 3: Asymptomatic SPN in Smoker
Case 4: Accidental Discovery of Irregular Calcification
Case 5: An Adolescent Boy with Ill-defined Nodular Opacities
Case 6: An Elderly Man Carrying Signs of Long-standing Pain
Case 7: Accidental Detection of Bilateral Hilar Lymphadenopathy
Case 8: A Young Lady with Chronic Nonspecific Symptoms
Case 9: Accidental Discovery of Left-sided Air-fluid Level

Patients in Emergency with Respiratory Problems
Case 10: A Young Man had a Road Traffic Accident
Case 11: A Rare Cause of Shock
Case 12: Elderly Man with Acute over Chronic Respiratory Insults
Case 13: Pneumothorax with Reticulonodular Opacities
Case 14: A Case of Shock with Pleural Effusion
Case 15: Massive Hemoptysis with Past History of Pulmonary Tuberculosis
Case 16: Tuberculosis with Sudden Onset of Dyspnea
Case 17: A Young Girl with Sudden Onset Respiratory Distress
Case 18: Man with Fracture Neck Femur

Obstructive Airway Diseases
Case 19: Middle-aged Housewife with Non-responding Dyspnea
Case 20: Asthmatic Patient came with Hemoptysis
Case 21: Unresponsive Chronic Obstructive Pulmonary Disease
Case 22: Early Onset COPD or Late Onset Asthma
Case 23: Frequent Exacerbations of COPD
Case 24: A Simple Case Suddenly got Astonishing Attention
Case 25: A Common Presentation of a Rare Disease in Adult
Case 26: COPD with Rapid Change in Chest Radiology

Respiratory Problems in Intensive Care Unit
Case 27: Elderly COPD Patient came with Leukocytosis
Case 28: An Unusual Associate Disease in COPD
Case 29: A COPD Patient with Type II Respiratory Failure
Case 30: Ventilated Patient with Opaque Left Hemithorax
Case 31: Masked Metabolic Acidosis in ICU
Case 32: An Elderly Man with Metabolic Alkalosis
Case 33: Young Asthmatic with Deteriorating ABG
Case 34: Elderly Lady with Respiratory Acidosis
Case 35: Obese Lady with Metabolic Syndrome
Case 36: Guillain-Barré Syndrome with Ventilatory Failure
Case 37: An Adolescent Girl with Hypoxic Respiratory Failure
Case 38: Hypoxia with Bilateral Lung Infiltrates
Case 39: Acute Onset of Dyspnea in SLE
Case 40: Bilateral Consolidation in a Young Lady

Diffuse Parenchymal Lung Diseases
Case 41: DPLD with Systemic Manifestation
Case 42: A Classical Textbook Case of DPLD
Case 43: DPLD with Changing Diagnosis
Case 44: Importance of Untold Story
Case 45: DPLD Presented Like Tuberculosis
Case 46: Boy with Cervical Lymphadenopathy and Pneumothorax
Case 47: Lady with Recurrent Pneumothorax
Case 48: Lady with Peripheral Lung Opacities
Case 49: Persistent Cough in Smoker
Case 50: Persistent Cough in Rheumatoid Arthritis
Case 51: Revisiting a Diagnosed Case
Case 52: Sarcoidosis with Pleural Effusion

Tuberculosis
Case 53: A Boy with Progressing Pneumonia
Case 54: A Lady with Puerperal Fever
Case 55: A Middle-aged Lady with a Round Opacity
Case 56: A Young Man with Toxemia
Case 57: Life-threatening Episode Associated with Tuberculosis
Case 58: A Long Journey Seeking Treatment
Case 59: A Young Man with Non-responsive TB
Case 60: Man with Multiple Rib Erosions
Case 61: Persisting Cavity Despite Treatment
Case 62: Recurrent Right Paratracheal Lymphadenopathy
Case 63: Old Man with Pleuropulmonary Disease

Pleural Diseases
Case 64: A Classical Tuberculous Pleural Effusion
Case 65: Hemorrhagic Pleural Effusion with Low Adenosine Deaminase
Case 66: Changing Diagnosis
Case 67: An Elderly Lady had a Concealed Truth
Case 68: Right-Sided Loculated Empyema
Case 69: Encysted Pleural Effusion with Liver Cyst
Case 70: Thoracic Sequel of Past Sin
Case 71: Bilateral Empyema Thoracic
Case 72: Asymptomatic Lady wants to go Home
Case 73: Boy with Hyperlucent Right Lung
Case 74: A Case of Multiple Fluid-filled Cysts

Lung Infections
Case 75: Typical Lobar Pneumonia
Case 76: A Young Lady with Toxemia
Case 77: Unresolved Pneumonia
Case 78: Lady with Bilious Expectoration
Case 79: A Case of Multiple Air-fluid Levels
Case 80: Right Lower Lobe Lung Abscess
Case 81: A Case of Gas under the Diaphragm
Case 82: Old Man with Suspected Lung Cancer
Case 83: Lady with Triangular Opacity Behind Heart

Thoracic Malignancy
Case 84: Elderly Man with Right Lung Collapse
Case 85: A Young Man Presented as Left-Sided Pleural Effusion
Case 86: A Middle-aged Man Presented with Consolidation
Case 87: Elderly Man with Left Upper Lobe Cavity
Case 88: Localized Rhonchi in Adult
Case 89: Man with Chest Wall Mass
Case 90: Man with Amazing Chest Wall Swelling
Case 91: COPD with Raised Left Dome of the Diaphragm
Case 92: Diffuse Parenchymal Lung Disease with Severe Chest Pain
Case 93: Lady Presented with Right-sided Fibrothorax
Case 94: Man Diagnosed as Cervical Spondylitis
Case 95: A Case of Superior Vena Cava Syndrome
Case 96: A Middle-aged Man Presented with Recurrent Hemoptysis
Case 97: Adolescent Girl with Unilateral Pleuroparenchymal Disease
Case 98: Adolescent Girl with Anterior Mediastinal Mass
Case 99: Young Man with Opaque Left Hemithorax
Case 100: Atrial Septal Defect with Multiple Nodular Opacities
Case 101: A Young Man with Nodules Behaving Differently

Index

Supriya Sarkar MD
Professor and Head, Department of Chest Medicine, College of Medicine and Sagore Dutta Hospital, Kolkata, West Bengal, India