The landlady confirms the diagnosis

Article Abstract:

A 43-year-old man was diagnosed with salicylate poisoning. Salicylic acid is a component of aspirin. The patient appeared at the emergency room with nausea, vomiting, shortness of breath. He also complained of hearing things. He had a long, but vague, history of psychiatric disorders. He had developed fever, chills and sweats one week earlier. He usually drank six to seven beers a day, but did not drink since becoming ill. He had been taking three to four tablets, given to him by his landlady, for pain every three to four hours over the past week. Laboratory tests revealed that the patient had metabolic acidosis, and a chest X-ray showed a possible infiltrate in his left lung. He was given antibiotics for a possible bacterial infection. A blood test revealed that blood levels of salicylate were much higher than normal, and the landlady disclosed that the unknown tablets were aspirin. He was treated with intravenous fluids for salicylate poisoning.

Health aspects, Case studies, Poisoning, Accidental, Accidental poisoning, Salicylates

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One more hypothesis

Article Abstract:

Cholesterol embolization in an elderly patient can be difficult to diagnose. In one case, a 72-year-old man was seen in the emergency room because he had shortness of breath, lack of appetite and chest pain. Because he had a fever, fast pulse and elevated blood pressure an infectious cause for his condition was initially considered. Laboratory tests indicated high levels of white blood cells, which sometimes can indicate bacterial infection. Treatment with antibiotics was begun for a diagnosis of atypical pneumonia and infection with respiratory distress. The patient's condition worsened. Symptoms such as mottled skin persisted though the fever disappeared temporarily. His kidneys began failing though the reason for this was unclear. The patient died four days after admission to the hospital. Diagnosis of the cholesterol embolization was made only after autopsy.

Atheroembolism

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Diagnostic strategy - the shotgun versus the arrow

Article Abstract:

The diagnosis of pulmonary embolism is difficult due to the myriad symptoms associated with the condition and the appearance of these symptoms in many heart conditions. An elderly man complaining of shortness of breath and dizziness who had a history of hypertension and chest pain underwent numerous diagnostic procedures before his true condition, chronic pulmonary embolism, was discovered. Most of the tests he underwent were aimed at eliminating other possible problems, including a wide variety of cardiac and pulmonary diseases. A physical examination of the patient may have sped up the diagnostic process in this case. Had the patient undergone right-heart catheterization with pulmonary arteriography sooner, a diagnosis could have been made sooner and at less expense.

Pulmonary embolism

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