Chest
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Interstitial Lung Disease CasesSESSION TYPE: Case ReportsPRESENTED ON: Saturday, March 22, 2014 at 09:00 AM - 10:00 AMINTRODUCTION: Hypersensitivity pneumonitis (HP) is characterized by diffuse inflammation of lung parenchyma. Symptoms include cough, fever, and shortness of breath. Chest imaging often shows micronodules and fibrosis that can be difficult to distinguish from idiopathic pulmonary fibrosis. We present a case of HP presenting with diffuse cystic lesions, mimicking lymphangioleiomyomatosis (LAM). ⋯ In patients with HP, treatment includes avoiding the allergen and in some cases, systemic corticosteroids. While long term prognosis is generally perceived as good, some patients develop severe respiratory insufficiency. We demonstrate the need to consider a HP diagnosis in patients with cystic lung disease.Reference #1: Ramazzini B. Diseases of workers. Wright WC, trans. New York, NY: Hafner, 1964; 243Reference #2: Cormier Y, et al Significance of pre- cipitins and asymptomatic lymphocytic alveolitis: a 20-yr follow-up. Eur Respir J. 2004;23(4):523-525.Reference #3: Coultas DB, Zumwalt RE, Black WC, Sobonya RE. The epidemiology of interstitial lung diseases. Am J Respir CritCare Med. 1994;150(4):967-972DISCLOSURE: The following authors have nothing to disclose: Anita Rajagopal, Michael ShapiroNo Product/Research Disclosure Information.
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COPD Rehabilitation PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: The purpose of this study was to determine the impact of hospitalization in fatigue in COPD patients hospitalized due to an acute exacerbation. ⋯ The following authors have nothing to disclose: Irene Torres-Sánchez, Marie Carmen Valenza, Gerald Valenza-Demet, Irene Cabrera-Martos, María José Flores-Barba, Ascensión Rodríguez-RodríguezNo Product/Research Disclosure Information.
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Pleural CasesSESSION TYPE: Case ReportsPRESENTED ON: Sunday, March 23, 2014 at 09:00 AM - 10:00 AMPURPOSE: Posterior mediastinal hemangioma is a very rare tumor. We present a 50-years-old woman admitted to our hospital because of dyspnea and chest pain. A chest x-ray showed a shadow in the aortic arch and a unilateral massive pleural effusion. Serous fluid was aspirate via thoracocentesis, but no malignancy was detected on cytological examination. During the diagnosis process she requires several thoracocentesis to relive the symptoms. CTscan revealed a hypodense and hypervascular circular mass approximately 6 cm in diameter with well defined margins in the posterior mediastinum. Video-assisted thoracoscopic surgery was performed with a total resection of the lesion. The tumor was diagnosed as mediastinal capillary hemangioma with hyaline regression. The pleural effusion was attributed to the capillary mass and no relapsing was shown in further controls. ⋯ The following authors have nothing to disclose: Lucas HOYOS MEJIA, Daniel Valdivia, Jose Manuel Naranjo, Manuel Valle, Lidia Macias, Andres VarelaNo Product/Research Disclosure Information.
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Surgery Case Report Posters IISESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Radical manubriectomy for manubrial tumors often destabilizes one or both upper extremities, but current reconstructive techniques prevent lateral but not medial clavicular displacement. ⋯ The following authors have nothing to disclose: Eric Toloza, Kathryn Rodriguez, Christian Sobky, Lori Brown, Joseph Garrett, Christy Chai, Carla Moodie, Rajendra Bhati, Gerard Mosiello, Jonathan ZagerUse of Synthes Sternal Fixation System is not yet approved for interclavicular stabilization.
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Cardiovascular CasesSESSION TYPE: Case ReportsPRESENTED ON: Saturday, March 22, 2014 at 04:15 PM - 05:15 PMINTRODUCTION: Central venous catheters (CVC) are placed in large caliber veins, and though relatively safe, complications can occur. When chest radiograph cannot verify proper CVC placement, further assessments are mandated. We present a case of questionable placement of a left-sided CVC. ⋯ The following authors have nothing to disclose: Andrew Oh, Timothy QuastNo Product/Research Disclosure Information.