José Vilar and Friends Case 28 (Update: Solution!)

Hello again,

here is a new case from Hospital Dr Peset archive.

This is a 67 year old man with COPD. He was presented with worsening of his dyspnea, he now needs two pillows to sleep.

What do you think and what would you do ?

Click here for the answer

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    13
    Apr 2020
    POSTED BY
    DISCUSSION 4 Comments

    4 Responses to : José Vilar and Friends Case 28 (Update: Solution!)

    1. Beata says:

      Pulmonary hipertension – angio CT

    2. Trinity says:

      CXR AP view reveals enlarged bilateral pulmonary arteries and Lateral view shows reduced retrosternal space due to enlarged RV. Finding represent features of Pulmonary arterial hypertension.

    3. NIHARIKA Gupta says:

      Sorry CXR PA view… typing error

    4. Pppp says:

      There is increased cardiothoracic ratio, interstitial pattern and widening of the hila bilaterally.Regarding the clinical information (orthopnea) I would suggest interstitium pulmonary edema. Heart echo next

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