An 80-year-old female retired teacher was admitted under the medical team with right-lower-lobe pneumonia. The patient, a non-smoker with minimal alcohol intake, had a medical history of non-Hodgkin’s lymphoma treated with radiotherapy and splenectomy 30 years before, Barrett’s oesophagus (C9M9 Prague Classification) with distal oesophageal ulcer diagnosed 8 months previously, hiatus hernia and dual-chamber pacemaker for sinus-arrest. Medications were omeprazole 80 mg and ranitidine 300 mg daily. During the preceding two years, the patient had consulted Respiratory and Gastroenterology teams for a persistent cough worsened by eating and drinking and two stone weight loss (admission BMI 16). High-resolution CT demonstrated subsegmental atelectasis and ground glass changes in …

中文翻译：

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持续咳嗽：胃肠病学家的问题？

一位80岁的退休女教师因右下叶肺炎入院。患者为非吸烟者，酒精摄入量很少，30 年前有非霍奇金淋巴瘤病史，曾接受放疗和脾切除术，巴雷特食管（C9M9 布拉格分类）8 个月前诊断为远端食管溃疡，裂孔疝和双-用于窦性停搏的腔室起搏器。药物是奥美拉唑 80 毫克和雷尼替丁 300 毫克，每天。在过去的两年中，患者因饮食和两块石头体重减轻而持续咳嗽恶化（入院 BMI 16），曾就诊于呼吸和胃肠病学小组。高分辨率 CT 显示亚节段肺不张和毛玻璃改变…