Orthopnea is a sensation of shortness of breath, which occurs in recumbent position and is usually improved by standing or sitting. The authors report a case of an 81-year-old woman presented to the Emergency Department with a two-week history of orthopnea, fever and low back pain resistant to analgesics. Radiological findings confirm the presence of a diafragmatic hernia, and clinicians should pay attention to any history of trauma, because their absence in symptomatic adult patients directs towards a congenital cause. A surgical repair should be promptly obtained to avoid further general and respiratory deterioration.

Orthopnea and fever in an elderly woman / Claudio, Tana; Silvio Di, Carlo; Mauro, Silingardi; Maria Adele, Giamberardino; Francesco, Cipollone; Meschi, Tiziana. - In: ITALIAN JOURNAL OF MEDICINE. - ISSN 1877-9352. - 11(2017), pp. 399-402.

Orthopnea and fever in an elderly woman

MESCHI, Tiziana
2017

Abstract

Orthopnea is a sensation of shortness of breath, which occurs in recumbent position and is usually improved by standing or sitting. The authors report a case of an 81-year-old woman presented to the Emergency Department with a two-week history of orthopnea, fever and low back pain resistant to analgesics. Radiological findings confirm the presence of a diafragmatic hernia, and clinicians should pay attention to any history of trauma, because their absence in symptomatic adult patients directs towards a congenital cause. A surgical repair should be promptly obtained to avoid further general and respiratory deterioration.
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11381/2834906
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