Clinical Case Database / Category: Patient Management

Malignant pleural mesothelioma

Publication details

Dr Burhan Khan MBBS, BSc, FCPS, Dr Majid Mushtaq FRCP
Foundation Years Journal, volume 4, issue 4, p.34 (123Doc Education, London, April 2010)


You are asked to see a 68-year-old man who presents to the A&E with a 6-weeks history of worsening shortness of breath, dry cough and accompanying pleuritic pain on the right side of the chest. He has no expectoration or haemoptysis, but has definitely lost weight. He has no significant past medical history and is not on any regular medicines. He has smoked 20 cigarettes per day since he was 18 years old, but stopped smoking 10 years ago.

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Dr Burhan Khan MBBS, BSc, FCPS

Specialist Registrar Respiratory and General (I) Medicine
Darent Valley Hospital
Kent DA2 8DA

Dr Majid Mushtaq FRCP

Clinical Directory
Consultant Physician Respiratory and General (I) Medicine
Darent Valley Hospital
Kent DA2 8DA




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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.