46. An Alcoholic with Dyspnea

  1. Christopher P. Holstege MD1,2,3,
  2. Alexander B. Baer MD1,4,
  3. Jesse M. Pines MD, MBA, MSCE5,6 and
  4. William J. Brady MD7,8,9
  1. James H. Moak MD, RDMS and
  2. John S. Rajkumar MD

Published Online: 3 AUG 2011

DOI: 10.1002/9781444397994.ch46

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

How to Cite

Moak, J. H. and Rajkumar, J. S. (2011) An Alcoholic with Dyspnea, in Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition (eds C. P. Holstege, A. B. Baer, J. M. Pines and W. J. Brady), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444397994.ch46

Editor Information

  1. 1

    Division of Medical Toxicology, University of Virginia School of Medicine, Charlottesville, VA, USA

  2. 2

    Blue Ridge Poison Center, University of Virginia School of Medicine, Charlottesville, VA, USA

  3. 3

    Departments of Emergency Medicine & Pediatrics, University of Virginia School of Medicine, Charlottesville, VA, USA

  4. 4

    Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA

  5. 5

    Center for Health Care Quality, George Washington University, Washington, DC, USA

  6. 6

    Departments of Emergency Medicine and Health Policy, George Washington University, Washington, DC, USA

  7. 7

    Department of Emergency Medicine, University of Virginia, Charlottesville, VA, USA

  8. 8

    Center for Emergency Management, University of Virginia Health System, Charlottesville, VA, USA

  9. 9

    Charlottesville-Albemarle Rescue Squad & Albemarle County, Fire Rescue, Charlottesville, VA, USA

Author Information

  1. Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA

Publication History

  1. Published Online: 3 AUG 2011
  2. Published Print: 12 AUG 2011

ISBN Information

Print ISBN: 9781444333473

Online ISBN: 9781444397994

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Keywords:

  • Case 46, an alcoholic with dyspnea;
  • 50-year-old female, alcohol abuse - shortness of breath, abdominal and back pain “like my pancreas”;
  • patient, being agitated - refusing to lie down;
  • patient, denying trauma - contusions and abrasions on hands and arms, in stages of healing;
  • pulse oximetry, 90% on 2 L nasal cannula;
  • dry mucous membranes, no jugular venous distention - distant heart sounds, grossly symmetric breath sounds;
  • which of these being true