Another case of breathlessness

BMJ 2001; 323 doi: (Published 28 July 2001) Cite this as: BMJ 2001;323:221
  1. Dr A Inwald, general practitioner
  1. north London

    A fit looking young man of 30 attended the surgery complaining of a week's history of increasing breathlessness while in bed at night. He had been registered at the practice for four years and was a rare visitor. During the previous day he had noticed some dyspnoea on exertion but he had continued working. That same night he had used pillows to prop himself up in bed and had felt more comfortable.

    He strode into the surgery briskly with no obvious breathlessness; he looked the picture of health. On examination the only abnormality …

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