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Title: | Type 2 respiratory failure secondary to left hemidiaphragmatic paralysis |
Authors: | Fiott, Daniel Lawrence Gauci, Jonathan Pace Bardon, Michael Balzan, Martin |
Keywords: | Respiratory insufficiency -- Complications Lungs -- Diseases -- Complications Dyspnea -- Pathophysiology Diaphragmatic eventration Acid-base imbalances |
Issue Date: | 2022 |
Publisher: | European Respiratory Society |
Citation: | Fiott, D. L., Gauci, J., Pace Bardon, M., & Balzan, M. (2022). Type 2 respiratory failure secondary to left hemidiaphragmatic paralysis. Breathe, 18(1), 210165. |
Abstract: | This case describes an uncommon presentation of type 2 respiratory failure secondary to left hemidiaphragmatic paralysis. Emphasis is on the multitude of possible causes of hemidiaphragmatic paralysis and how to manage such a presentation. A 73-year-old man presented to the emergency department with worsening orthopnoea and exertional dyspnoea. He denied any other cardiorespiratory symptoms. The patient had a body mass index (BMI) of 23.3 kg·m−2 (height 163 cm, weight 62 kg). Lung function tests 3 months before admission showed a ratio of forced expiratory volume in 1 s (FEV1) to forced vital capacity (FVC) of 88%. He had a past medical history of hypothyroidism, for which he was on levothyroxine 50 μg daily, and type 2 diabetes mellitus, for which he was on metformin 500 mg twice daily. Past surgical history included a gastrectomy 3 years prior to admission performed for gastric cancer, which was subsequently complicated by a subphrenic abscess, pancreatitis and residual pancreatic insufficiency. The patient was a lifelong non-smoker, worked in construction, reared birds as a hobby, and lived in an urban area. He was not on any other medication. [extract] |
URI: | https://www.um.edu.mt/library/oar/handle/123456789/123185 |
Appears in Collections: | Scholarly Works - FacM&SMed |
Files in This Item:
File | Description | Size | Format | |
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Type 2 respiratory failure secondary to left hemidiaphragmatic paralysis 2022.pdf | 371.46 kB | Adobe PDF | View/Open |
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