Atrial Fibrillation and Shortness of Breath
Atrial Fibrillation and Shortness of Breath A 42-year-old woman had her first episode of atrial fibrillation 3 years ago. Over the last year, she developed symptoms of fatigue and shortness…
Worsening Dyspnea on Exertion and Reduced Exercise Capacity
Worsening Dyspnea on Exertion and Reduced Exercise Capacity A 44-year-old woman presents with a 6-month history of worsening dyspnea on exertion. She has reduced exercise capacity and has to stop…
Marfan Syndrome with Sharp Chest Pain
Marfan Syndrome with Sharp Chest Pain The patient is a 43-year-old woman with a history of Marfan syndrome. She had a Bentall procedure 10 years ago with a composite Dacron…
Weight Loss and Low-Grade Fevers
Weight Loss and Low-Grade Fevers A 41-year-old man was admitted to the hospital with a 1-month history of fatigue, shortness of breath, weight loss, and low-grade fevers. On physical examination,…
Syncopal Event with a Bruised Sternum
Syncopal Event with a Bruised Sternum A 41-year-old African American man presents after a syncopal event that occurred while driving a car. The patient was involved in a head-on collision…
Acute Shortness of Breath following Surgery due to a Motor Vehicle Accident
Acute Shortness of Breath following Surgery due to a Motor Vehicle Accident A 40-year-old man had orthopedic surgery following a motor vehicle accident. He subsequently developed acute shortness of breath….
Lip and Skin Lesions with the Appearance of Blebs/Papules
Lip and Skin Lesions with the Appearance of Blebs/Papules A 38-year-old healthy woman developed lip and skin lesions with the appearance of blebs/papules 2 months ago. She had swelling of…
Fatigue, Weight Loss, and Anorexia
Fatigue, Weight Loss, and Anorexia The patient is a 37-year-old man with fatigue, a 20-1b weight loss, and worsening anorexia over the past 6 months. Figure 18-1. Figure 18-2. Figure…
Flu with Recent Onset of Congestive Heart Failure
Flu with Recent Onset of Congestive Heart Failure The patient is a 36-year-old woman with a history of the flu 6 weeks prior to admission and onset of congestive heart…
