1 of 2 DESCRIPTION A 26-year-old woman presented to our medical assessment unit with a 2-week history of breathlessness and cough. She was a lifelong non-smoker and had kept a parrot for many years. She was in type 1 respiratory failure with oxygen saturations of 87% and PO 2 of 7.8 kpa breathing room air. A chest radiograph showed multiple nodules in a miliary pattern ( fi gure 1 ). There was ...

BACKGROUND Mediastinal widening is a common finding on chest radiograph, and can be caused by numerous conditions. Most of these diseases have grave prognosis if accompanied by chest pain, and require immediate attention. However, mediastinal lipomatosis is a very benign condition caused by deposition of adipose tissue in the mediastinum. CASE PRESENTATION We present a case of a morbidly obes...

A 9-week-old female baby presented at her local hospital with a 10-day history of cough and poor feeding. The pregnancy had been uneventful with normal antenatal scans. The baby was born at term by normal vaginal delivery weighing 3.23 kg with good American Paediatric Gross Assessment Record scores and was sent home on the second day after birth. Prior to this presentation, she had exhibited no...

INTRODUCTION Patients with human immunodeficiency virus (HIV) infection frequently present with a wide spectrum of pulmonary and cardiac complications from the virus, opportunistic infections and neoplasms that may be associated with a high mortality rate. Diseases of the respiratory tract account for about half of deaths from AIDS, while cardiac diseases account for more than a quarter of deat...

A 46-year-old man with no past history of underlying disease was admitted to our hospital for examination of abnormal chest shadow on chest radiograph. He had no respiratory symptoms on admission. Chest radiograph showed a solitary nodule (35 × 20 mm) in the left upper lung field. On chest CT, this nodule in the left upper lobe (S(1+2)) did not demonstrate calcification, the margin was clear bu...

July 1, 2002. Overnight shift in the pediatric emergency department. In 1 room, the fellow is attempting to place a central venous catheter in a 5-year-old boy with presumed septic shock but has been unable to locate the femoral vein with her finder needle. In the next room lies a 7year-old trauma patient. He is tachycardic with poor perfusion and abrasions on his chest. The team calls for a po...