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Showing posts from March, 2017

Elevated Right Dome of diaphragm and Shortness of Breath

Patient Name: ABELMOSCHUS1 60017ESCULENTUS  Disclaimer:- This is a HIPAA de-identified open-online-patient-record with initial information in patient's voice, posted here after collecting informed patient consent (form downloadable Click Here) . A 67 years-old male presented with the complaint of shortness of breath while walking upstairs since last 4 months, which improves after taking rest. His symptom was non-progressive from the beginning of the symptom. His past medical history was significant for hypertension since last 4 years and surgical history for transurethral resection of the prostate (TURP) for Benign Prostatic Hyperplasia (BPH), left and right inguinal hernia surgery, and tonsillectomy at the age of 12. He was a non-smoker.  On Examination, his Jugular venous pressure (JVP) was normal, no abnormal breath sounds heard. He had truncal obesity and gynecomastia. All routine blood investigations, liver function tests (LFTs) and urinary routin