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November 2016 pulmonary case of the month
- Source :
- Southwest Journal of Pulmonary and Critical Care, Vol 13, Iss 5, Pp 191-195 (2016)
- Publication Year :
- 2016
- Publisher :
- Southwest Journal of Pulmonary and Critical Care, 2016.
-
Abstract
- No abstract available. Article truncated after 150 words. History of Present Illness: Our patient is a 76-year-old gentleman who was referred based on an abnormal CT scan. He has a history of metastatic melanoma and had begun immunotherapy with pembrolizumab 10 months prior to admission. He had low grade fevers and chills and some dyspnea on exertion and dry cough. He also had a 6-8 pound weight loss over 4 weeks. PMH, SH and FH: He has a history of hairy cell leukemia since 2009; squamous and basal cell cancers; and diabetes on insulin. He is a retired commercial banker and has a 15 pack-year smoking history. Physical Examination: Physical examination showed and SpO2 of 90% on room air. His lungs were clear. He had numerous depigmented lesions on his skin. Radiography: A thoracic CT scan was performed (Figure 1) and compared to a scan done 3 months prior which was considered unremarkable. Which of the following best ...
- Subjects :
- CT scan
lung biopsy
lcsh:R5-130.5
business.industry
pneumonitis
lcsh:Medical emergencies. Critical care. Intensive care. First aid
complication
lcsh:RC86-88.9
programmed cell death protein 1
drug-induced
03 medical and health sciences
0302 clinical medicine
030220 oncology & carcinogenesis
PD-1
melanoma
hairy cell leukemia
pneumonia
Medicine
pembrolizumab
030212 general & internal medicine
business
lcsh:General works
Subjects
Details
- ISSN :
- 21606773
- Volume :
- 13
- Database :
- OpenAIRE
- Journal :
- Southwest Journal of Pulmonary and Critical Care
- Accession number :
- edsair.doi.dedup.....f0538aee480177283a1968d1a5e765ea