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A woman with cough and dyspnoea
A 43 year old woman presents to the emergency department with a one week history of feeling unwell with dyspnoea, effort intolerance and productive cough. She has recently completed a week’s course...
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Pulmonary renal syndrome in a young man
A 28 year old man is admitted with two days of vomiting. His illness began with a sore throat but he has become progressively more unwell, developing abdominal pains which became severe, and...
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A 53 year old man with wheeze
A 53 year old man is referred to the respiratory outpatient clinic with worsening shortness of breath and wheeze on minimal exertion. Diagnosed with asthma as a child his symptoms have been relatively...
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A routine chest X-ray
A 74 year old man has a routine chest X-ray (click on the image to see a larger version) during a pre-operative assessment for a hernia repair. Following this, he is referred to the respiratory clinic...
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A 67 year old smoker with shortness of breath
A 67 year old gentleman is referred to you from his GP. He has been attending his GP for the last 6 months with increasing shortness of breath on exertion. He has been diagnosed with COPD and started...
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A woman with a urinary tract infection
A 46 year old woman attended her General Practitioner surgery with 3 days of dysuria, frequency and nocturia. After a positive urinalysis of nitrites and leucocytes, she was diagnosed with a urinary...
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A new TB diagnosis
A 56 year old Scottish man is referred to the respiratory outpatient clinic with a 6 week history of fever, sweats, weight loss, mild exertional dyspnoea and loss of appetite. His initial chest...
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A man with a cough
A 45 year old man is referred to respiratory outpatient clinic with an 8 week history of cough with yellow sputum, shortness of breath on exertion, malaise and occasional fever. He is a non-smoker. He...
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Breathlessness
A 44-year-old female is referred to the respiratory outpatient clinic by her GP with a 5-week history of worsening shortness of breath on exertion. On further questioning she denies any cough,...
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From dysuria to dyspnoea?
A 46 year old female attended her GP with 3 days of dysuria, frequency and nocturia. After a positive urinalysis of nitrites and leucocytes she was diagnosed with a UTI and given a weeks course...
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