Case 9 – the beginning

Hello!  Welcome back to TeamHaem.  Here is the next case for your enjoyment!

A 29 year old female attends her GP practice after an inhaler she’d been prescribed for shortness of breath had not been effective.  She had been feeling short of breath for the past few months and it was gradually getting worse.  There was a cough but no sputum and no haemoptysis.  Her past medical history was unremarkable.  She’d has two children both fit and well aged 3 and 5 and works as an air hostess.  She had no drug allergies and her medication included a beclomethasone 200 micrograms BD and salbutamol 200 micrograms PRN.  She was also using a steroid cream for a troublesome itch.  On examination the best was clear and heart sounds normal.  There was no ankle oedema.  The GP referred her for a chest radiograph.

CXR - team haem

Questions:

How would you report this chest X-ray?

What are your differential diagnoses?

Please reply on Twitter and always include #teamhaem to allow others to follow your comments. Please join in the debate and learn about haematological problems along the way. The case will continue to  evolve over the coming week so keep checking #teamhaem for more information.

Please note – all cases on TeamHaem are entirely fictional to protect patient confidentiality.

TeamHaem are not a position of authority.  It is an educational platform to allow discussion

About TeamHaem

Online education and discussion about all things haematological
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4 Responses to Case 9 – the beginning

  1. Pingback: Case 9 May 2013 – updated 2 | TeamHaem

  2. Pingback: Case 9 May 2013 – updated 3 | TeamHaem

  3. Pingback: Case 9 May 2013 – updated 4 | TeamHaem

  4. Pingback: Case 9 May 2013 – updated 5 | TeamHaem

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