MUDr. Pavol, pavol.pobeha(at)upjs.sk

Newly diagnosed COPD - obstructive ventilatory impairment

Author: Pavol Pobeha

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Presented case report documents an example of a patient with an accidentally diagnosed chronic obstructive pulmonary disease (COPD) based on clinical signs. Diagnosis was confirmed by a pneumologist using spirometry. A bronchodilation test was carried out to confirm the irreversibility of detected obstructive ventilatory impairment. The patient was given combined bronchodilator treatment with ß2-mimetics and anticholinergics to relieve symptoms, improve functional parameters and prevent subsequent exacerbations.

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Thoracic empyema

Author: Pavol Pobeha

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Case report presents patient with thoracic empyema, who was admitted in hospital after failure of outpatient antibiotic treatment. Patient suffered from fever, thoracic pain, dyspnea and dry cough. Chest X-ray revealed homogenous shadow in right basal and middle lung zone which was confirmed by CT. According to CT scan we expected presence of empyema. Patient was treated with combination of intravenous antibiotics and pleural puncture was performed. Analysis of sample showed results which met the criteria for empyema and patient was immediately sent to department of thoracic surgery for drainage.

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