Archive for the ‘Disease’ Category

Owing to recent developments in roentgenographic tech­nique, the number of reported cases of congenital anomalies such as anomalous inferior vena cava with azygos continuation, congenital deficiency of left pericardium, or dysgenesis of lung diagnosed individually has increased. Thus, such anomalies are now listed in the differential diagnosis of the abnormal lung shadow. Recently, we ob­served […]

Diagnosis: Chondrosarcoma with emboli metastatic to lung Following the open lung biopsy, a radiologic survey of the lower extremities revealed a small lesion in the right hip which showed the calcification pattern typi­cal of chondrosarcoma. In this patient, invasion of local venous structures, intravascular growth of tumor, and subsequent embolization led to obstruction of a […]

A 55-year-old white woman presented with a two- month history of increasing dyspnea and dry cough. The week prior to admission, the patient noted the onset of pleuritic chest pain without associated fever, chills, sputum production or hemoptysis. She had no significant occupational exposures, travel or smoking history. Five months prior to admission, the patient […]

In considering the first possibility, it has long been appreciated that chronic obstructive pulmonary dis­eases have varied causes. Smoking has been consid­ered to be responsible in the large majority of patients; however, careful longitudinal studies have shown that only a minority of smokers developed airways obstruc­tion (although all develop mucous hypersecretion and, consequently, chronic bronchitis). […]

Patients with COPD are commonly subject to frequent exacerbations which are assumed to be related to infection or bronchial hyperreactivity. Herein we have identified an additional factor, crico­pharyngeal achalasia, in 21 of 25 patients. In 17 of these patients, it was judged to be severe, and in retrospect, all were found to have some degree […]

We studied 25 patients with cricopharyngeal dys­function who had moderate to severe COPD and FEWy less than 70 percent of predicted (Table 1). All of these patients had been referred for frequent exacerbations of respiratory distress. Twenty-one of the patients had dysfunction of the cricopharyngeous muscle shown by videotape record­ings of the swallowing sequence. All […]

A brief description of our index cases may l>e of help in describing this complication or abnormality. Case 1 An 80-year-old physician was admitted urgently to the Brotman Medical Center. One year previously, he had observed the onset of wheezing and severe dyspnea treated with bronchodilator drugs and large doses of corticosteroids (48 mg of […]