Endgames Spot Diagnosis

Dyspnoea in an older woman

BMJ 2016; 354 doi: http://dx.doi.org/10.1136/bmj.i4883 (Published 28 September 2016) Cite this as: BMJ 2016;354:i4883
  1. Joseph Dalby Sinnott, core surgical trainee1,
  2. David C Howlett, consultant radiologist2
  1. 1department of surgery, East Sussex Hospitals NHS Trust, Eastbourne, UK
  2. 2department of radiology, East Sussex Hospitals NHS Trust
  1. Correspondence to: J D Sinnott j.d.sinnott{at}gmail.com

An 80 year old woman presented to the emergency department with increasing shortness of breath on exertion and “noisy breathing.” She was easily able to complete full sentences, but on examination there was a faint biphasic stridor. The patient stated that she had been breathing like this for months but that it was slowly worsening. She had no polyphonic expiratory wheeze and on …

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