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An old-age farmer with chronic dyspnea
A 94-year-old man, known case of chronic lymphocytic leukemia and chronic lung disease, presented to the Emergency Department with aggravation of his chronic dyspnea and non-productive cough since about 2 weeks prior to hospitalization. He had no complaint of fever or chest pain. At the time of hospital admission, the patient was tachypneic (respiratory rate of 22 breaths/minute), tachycardic (pulse rate of 110 beats/minute), normotensive, and afebrile. His-physical examination was also significant for a decreased breath sound in lower part of right lung field – with a dull percussion -, fine bibasilar crackles, mild and diffuse wheeze, and bilateral lower extremities pitting edema up to the level of calves.A young woman with left lower chest pain
A 34-years old woman presented to the emergency department with complaints of acute-onset and progressive left upper quadrant abdominal and left lower chest pain, nausea, and fever since about 4 days ago; she has had a history of blunt abdominal trauma 15 years ago. On physical examination, she had fever, tachycardia, tachypnea, and left upper quadrant abdominal tenderness. Plain chest radiography showed an air-fluid level behind the heart apex and a blunted left side costophrenic angle (See Fig.
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