© 2003 Fellowship of Postgraduate Medicine
SELF ASSESSMENT QUESTION
Geriatric medicine
An elderly man with chest pain, shortness of breath, and constipation
Department of Geriatric Medicine, Canberra Hospital and Canberra Clinical School of the University of Sydney, Australia
Correspondence to:
Correspondence to: Dr Michael W Davis, Department of Geriatric Medicine, Canberra Hospital, PO Box 11 Woden ACT 2606, Australia; michaelw.davis@act.gov.au
Accepted 25 November 2002
Answers on p. 183.
Keywords: intestinal hepatodiaphragmatic interposition; Chilaiditi’s syndrome; chest pain; breathlessness
| The first 150 words of the full text of this article appear below. |
An 81 year old man was admitted to hospital with fractured neck of his right femur. From the 11th day after surgery he developed recurrent episodes of retrosternal and right lower chest pain associated with shortness of breath, sweating, nausea, and hiccup; the pain was aggravated by deep breathing. He had four such episodes in three days while walking with a frame. On each occasion he was given glyceryl trinitrate (600 µg sublingually). The pain lasted from 30 minutes to two hours and was relieved in the supine position. He was constipated for five days. His past medical history included ischaemic heart disease with coronary artery bypass three years earlier but no angina since, stomach surgery for bleeding peptic ulcer (10 years previously), bilateral total knee replacements (two years previously), bladder cancer, and a long history of constipation. He never smoked and used alcohol only occasionally. His regular
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An elderly man with chest pain, shortness of breath, and constipation
Postgrad. Med. J. 2003 79: 183-184.[Extract] [Full Text] [PDF]
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