hemoptysis/obesity

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Hemoptysis, cough, and syncope in an obese woman with a prosthetic valve.

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Unusual presentation of hemoptysis in a 78-year-old with previous Nissen fundoplication.

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A 78-year-old individual, who had a previous transthoracic Nissen fundoplication 20 years earlier, presented to our institution with hemoptysis. Initial workup included chest roentgenogram, upper gastrointestinal series, and upper endoscopy, all of which were nondiagnostic. A repeat upper endoscopy

[Hemoptysis because of pulmonary vein stenosis and occlusion after pulmonary vein isolation for atrial fibrillation].

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METHODS A 49-year-old woman was admitted because of hemoptysis for four months. Several bronchoscopies and thoracic computed tomographies at other hospitals had not revealed the cause of the sustained hemoptysis. Eight months before admission she had undergone pulmonary vein ablation (PVA) for

Chronic necrotizing pulmonary aspergillosis in an immunocompetent, obese 10-year-old boy.

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Chronic necrotizing pulmonary aspergillosis is a rare form of pulmonary aspergillosis. It is usually seen in middle-aged or elderly patients with underlying chronic lung disease or mild immunodeficiency, and has been only rarely encountered in children. Clinical presentation is variable and usually

Major respiratory adverse events after laparascopic gastric banding surgery for morbid obesity.

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BACKGROUND Laparoscopic adjustable gastric banding surgery has become one of the most common restrictive surgical procedures for treatment of morbid obesity worldwide. Although short-term respiratory complications are well known, long-term data is scarce. We investigated the manifestations of major

Life-threatening complications and outcomes in patients with malignancies and severe pulmonary embolism.

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BACKGROUND Data are scarce about ICU patients with malignancy and severe pulmonary embolism. Here, our main objective was to identify risk factors for life-threatening complications, organ failures, and death in ICU patients with severe pulmonary embolism, with special attention to the impact of

Improvement of screening for pulmonary embolism with a standardized questionnaire.

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The anamnesis is believed to be poor in identifying patients with pulmonary embolism (PE), but the method of data collection may be critical for inference on this issue. We compared the prevalences of history findings recorded after a free verbal interview (VI) by the referring physicians with those

Gastrobronchial fistula as a complication of bariatric surgery: a series of 6 cases.

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OBJECTIVE To present a multicenter series of 6 patients who developed gastrobronchial fistula (GBF). GBF is a rare subtype of gastric leaks following bariatric surgery, which is the mainstay of treatment for the obesity pandemic. METHODS We retrospectively identified 6 patients with GBF (out of

Clinical and imaging profiles of pulmonary embolism: a single-institution experience

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Background: Pulmonary embolism (PE) is a common life-threatening condition with non-specific clinical presentations. The diagnosis of PE depends highly on imaging studies, which may also provide prognostic information. This study aimed to

Challenges of treating a 466-kilogram man with acute kidney injury.

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Caring for super obese patients (body mass index > 50 kg/m(2)) presents a number of complex and unique clinical challenges, particularly when acute kidney injury is present. We describe our experience treating the heaviest individual with acute kidney injury requiring renal replacement therapy

[Right atrial thrombus: a rare presentation of plasminogen activator inhibitor deficiency].

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Free-floating right atrial thrombi are rare but associated with high mortality. Although advances in echocardiography have improved diagnosis, their management is still the subject of debate. A 24-year-old woman with a history of smoking, obesity and oral contraceptive use presented to the emergency

Emergency Evaluation for Pulmonary Embolism, Part 1: Clinical Factors that Increase Risk.

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BACKGROUND Pulmonary embolism (PE) can be fatal, but profligate testing for PE can harm patients. OBJECTIVE With consideration of potential medicolegal implications, this two-part review provides current evidence about the care of patients with suspected and diagnosed PE in the emergency department

Leptospirosis-associated catastrophic respiratory failure supported by extracorporeal membrane oxygenation.

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A previously healthy, 39-year-old obese farmer, arrived hypotensive and tachycardic, with fever, myalgia, headache, abdominal pain, diarrhea, and progressive dyspnea. Ten days before symptoms onset, he was in direct contact with mice and working in a contaminated drain. Patient laboratory showed

Clinical significance of elevated diffusing capacity.

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OBJECTIVE Single-breath diffusing capacity of the lung for carbon monoxide (DLCO) is used as a pulmonary function test (PFT) to assess gas transfer in the lungs. The implications of a low DLCO are well-recognized, but the clinical significance of a high DLCO is not clear. The aim of this study was

An Uncommon Case of Lower Limb Deep Vein Thrombosis with Multiple Etiological Causes.

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BACKGROUND Deep vein thrombosis (DVT) is a type of venous thromboembolism with diverse clinical and environmental risk factors. Very few cases of DVT with multiple high risk factors have been reported. Here, we report an uncommon DVT case with multiple etiological causes, including

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