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A 65-Year-Old Man with Pulmonary Opacities and Worsening Cough
Chest ( IF 9.6 ) Pub Date : 2019-12-01 , DOI: 10.1016/j.chest.2019.05.041
Wesley Pidcock 1 , Florence Chau-Etchapare 1 , Susan Murin 1
Affiliation  

CASE PRESENTATION A 65-year-old man was referred for evaluation of several years of chest congestion and cough productive of yellow sputum as well as recently noted abnormalities on chest imaging. He denied dyspnea, weight loss, fevers, chills, or hemoptysis. He had no history of systemic illness, pneumonia, other respiratory illness, gastroesophageal reflux, or sinusitis. He had a remote smoking history. He worked as a railroad conductor and had occupational exposure to asbestos, as well as to other uncharacterized dusts and fumes. The patient spent most of his life in Washington and California and regularly traveled through the California Central Valley. Other travel history included trips to Southeast Asia, Iceland, and Europe in the remote past. The patient had one dog but no exposure to other animals. His only medication was loratadine, taken daily for allergic rhinitis. He applied petroleum jelly to his nares nightly to moisturize his nasal passages.

中文翻译:

一名 65 岁男子,肺部混浊且咳嗽加重

病例介绍 一名 65 岁男性被转诊评估数年的胸闷和咳黄痰,以及最近发现的胸部影像学异常。他否认呼吸困难、体重减轻、发热、寒战或咯血。他没有全身性疾病、肺炎、其他呼吸道疾病、胃食管反流或鼻窦炎病史。他有远距离吸烟史。他是一名铁路售票员,职业暴露于石棉以及其他无特征的灰尘和烟雾。该患者一生中的大部分时间都在华盛顿和加利福尼亚度过,并经常穿越加利福尼亚中央山谷。其他旅行历史包括在遥远的过去到东南亚、冰岛和欧洲的旅行。患者养了一只狗,但没有接触过其他动物。他唯一的药物是氯雷他定,过敏性鼻炎每天服用。他每晚都会在他的鼻孔上涂抹凡士林,以滋润他的鼻腔。
更新日期:2019-12-01
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