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Chapter: 4 / Q: 71
A 17-year-old girl has been admitted with acute onset shortness of breath believed by her GP to be a deterioration in her normally well-controlled asthma. She has suffered with asthma since the age of 5 years and is normally well controlled, she has never had any hospital admissions
Chapter: 4 / Q: 72
A 76-year-old gentleman has been admitted under the care of the medics for inpatient management of his pneumonia. You are called to the ward to see him as the nurses are concerned that his saturations have dropped despite him being on oxygen. He is not complaining of worsening shortness
Chapter: 4 / Q: 73
A 27-year-old patient with a history of Marfan’s disease presents to accident and emergency with new onset shortness of breath. He has not had any recent illnesses and has not been exerting himself or playing any sports in the past couple of days. He is not complaining of a cough but has noticed
Chapter: 4 / Q: 74
A 51-year-old lady has recently returned from holiday in the Caribbean. Since her return she has noticed a minor pleuritic chest pain, which she thought would resolve with time; 2 days on, the pain is worsening and she has developed shortness of breath. On examination her saturations on room
Chapter: 4 / Q: 75
A 41-year-old gentleman is referred by his GP to the respiratory clinic for investigation of his worsening dyspnoea and dry cough. He has no past respiratory history and his GP is concerned about finger clubbing, which he has noticed on routine examination. On auscultation of his chest he has
Chapter: 4 / Q: 76
A 45-year-old man is due to join a new company as a finance director. Prior to his contract starting he books in to have a medical check-up at his GP. He states he feels in good health although tired recently, which he attributes to the stress of changing firms. As part of the routine
Chapter: 4 / Q: 77
A 54-year-old patient who is seen regularly for many years in the rheumatology clinic for management of rheumatoid arthritis presents to hospital with a 2-week history of lethargy, progressive shortness of breath and facial swelling. She has noticed a vague discomfort under her right ribs
Chapter: 4 / Q: 78
A 73-year-old man presents to hospital complaining of an inability to open his bowels for the past 2 days. He states that he has not been feeling bright for the past months and has been feeling nauseated and anorexic. Further questioning reveals a 10kg weight loss over the past 2 months
Chapter: 4 / Q: 79
A 65-year-old woman presents to hospital with shortness of breath, reduced exercise tolerance and gross peripheral oedema. She is well known to the cardiologists who have been treating her left heart failure over many years since her myocardial infarction. Echocardiography a year ago confirmed
Chapter: 4 / Q: 80
A 45-year-old man presents to accident and emergency with falls and confusion. He is admitted to the medical ward and started on pabrinex and vitamin B12 by intravenous infusion and is written up for chlordiazepoxide (heminevrin) in a reducing dose over 4 days. On examination he is malnourished
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