Clinical Case Database / Category: Case Based Discussion

The breathless patient

Publication details

Dr. Alistair Lindsay BSc (Hons.) MBChB MRCP
Foundation Years Journal, volume 1, issue 1, p.22 (123Doc Education, London, April 2007)

Abstract

You are the Foundation Year 1 covering the wards on an evening on-call. You are bleeped by the nursing staff on one of the general medical wards who would like you to come and see a patient they have become concerned about. They tell you on the phone that the patient, who was previously well, is now breathless and that their saturations are 78% on air.

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Authors

Dr. Alistair Lindsay BSc (Hons.) MBChB MRCP

Cardiology Registrar
North West Thames

References

1. Guidelines for the Management of Spontaneous Pneumothorax, AC Miller & JE Harvey on behalf of the Standards of Care Committee of the British Thoracic Society: British Medical Journal 1993; 307: 114-116.
2. Chronic obstructive pulmonary disease Management of chronic obstructive pulmonary disease in adults in primary and secondary care NICE guideline, February 2004

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Conflict Of Interest

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The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.

Patient Consent statement

All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.

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When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.

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.