Pulmonary
The Southwest Journal of Pulmonary and Critical Care publishes articles broadly related to pulmonary medicine including thoracic surgery, transplantation, airways disease, pediatric pulmonology, anesthesiolgy, pharmacology, nursing and more. Manuscripts may be either basic or clinical original investigations or review articles. Potential authors of review articles are encouraged to contact the editors before submission, however, unsolicited review articles will be considered.
December 2022 Pulmonary Case of the Month: New Therapy for Mediastinal Disease
Mayo Clinic Arizona
Scottsdale, AZ USA
History of Present Illness
A 43-year-old woman complained of persistent cough over 1 year with mild increasing dyspnea on exertion. She denied fever, sweats or weight loss. She had noted fatigue and dry cough, as well as shortness of breath, particularly when supine.
Past Medical History (PMH), Social History (SH), Family History (FH)
- An outside bronchoscopy done in 2019 with washings and biopsy showing only some non-specific inflammation
- Life-long nonsmoker
- Not on any chronic medications
- Had only lived in Arizona, although has travelled in other states
- There is no significant family history
Physical Examination
- Prominent vascularity on anterior chest
What should be done at this time? (Click on the correct answer to be directed to the 2nd of 6 pages)
- Chest X-ray
- Obtain old x-rays
- Pulmonary function testing
- Serology for coccidioidomycosis
- All of the above