Table Of ContentOxford Case Histories in
Respiratory Medicine
OXFORD CASE HISTORIES
Series Editors
Peter Rothwell and Sarah Pendlebury
Published:
Neurological Case Histories (Sarah Pendlebury and Peter Rothwell)
Oxford Case Histories in Gastroenterology and Hepatology (Alissa
Walsh, Otto Buchel, Jane Collier, and Simon Travis)
O xford Case Histories in Respiratory Medicine (John Stradling, Andrew
Stanton, Najib Rahman, Annabel Nickol, and Helen Davies)
Forthcoming:
Oxford Case Histories in Cardiology (Colin Forfar, Javed Ehtisham and
Rajkumar Rajendram)
O xford Case Histories in Nephrology (Chris Pugh, Chris O’Callaghan,
Aron Chakera, Richard Cornall and David Mole)
O xford Case Histories in Rheumatology (Joel David, Anne Miller,
Anushka Soni and Lyn Williamson)
Oxford Case Histories in Stroke and TIA (Sarah Pendlebury and Peter
Rothwell)
Oxford Case
Histories in
Respiratory
Medicine
John Stradling
Professor of Respiratory Medicine, Oxford University,
Consultant Physician, Oxford Centre for Respiratory
Medicine, Churchill Hospital, Oxford
Andrew Stanton
Specialist Registrar in Respiratory Medicine
Oxford Centre for Respiratory Medicine
Churchill Hospital, Oxford
Najib Rahman
Specialist Registrar and MRC Training Fellow
Oxford Centre for Respiratory Medicine
Churchill Hospital, Oxford
Annabel Nickol
Clinical Lecturer in Respiratory Medicine
Oxford Centre for Respiratory Medicine
Churchill Hospital, Oxford
Helen Davies
Specialist Registrar in Respiratory Medicine
Oxford Centre for Respiratory Medicine
Churchill Hospital, Oxford
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O xford University Press makes no representation, express or implied, that the drug dosages in this book
are correct. Readers must therefore always check the product information and clinical procedures with
the most up-to-date published product information and data sheets provided by the manufacturers and
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A note from the series editors
Case histories have always had an important role in medical education, but
most published material has been directed at undergraduates or residents. The
Oxford Case Histories series aims to provide more complex case-based learn-
ing for clinicians in specialist training and consultants, with a view to aiding
preparation for entry and exit-level specialty examinations or revalidation.
Each case book follows the same format with approximately 50 cases, each
comprising a brief clinical history and investigations, followed by questions on
differential diagnosis and management, and detailed answers with discussion.
All cases are peer-reviewed by Oxford consultants in the relevant specialty. At
the end of each book, cases are listed by mode of presentation, aetiology and
diagnosis.
We are grateful to our colleagues in the various medical specialties for their
enthusiasm and hard work in making the series possible.
Sarah Pendlebury and Peter Rothwell
Quotes on the first book in the series – “Neurological Case Histories”
“I recommend this excellent volume highly ....... this book will enlighten and
entertain consultants, and all readers will learn something.”
Lancet Neurology 2007; 6: 951
“This short and well-written text is …. designed to enhance the reader’s diag-
nostic ability and clinical understanding …. A well documented and practical
book”
European Journal of Neurology 2007; 14: e19
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Introduction
Postgraduate medical education has changed considerably over the last
30 years. There is greater emphasis on structured learning, but apprenticeship
time has decreased. Thus specialist registrars may reach the end of their t raining
without having seen cases of either rare diseases, rare presentations of c ommon
diseases or unusual problems in association with common diseases. Most phy-
sicians learn from cases they have seen. This collection of cases is a second-best
alternative, providing vignettes that hopefully will come to mind when a
similar case is encountered in the future.
The cases are not meant to comprehensively cover the ‘syllabus’ of a specialist
registrar in respiratory medicine, but are selected for their interest, or to eluci-
date points that the authors feel are important but may be under-appreciated.
The style of presentation thus inevitably varies depending on the type of message
and some of the problems discussed have no right answer, ours may well be
disputed!
W e hope the question-and-answer format will keep the reader on their toes
and make reading through the cases more fun.
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Acknowledgements
M any people have given their time to read through these cases and correct
errors or improve clarity. We are very grateful for their input; in particular
Rachel Benamore has provided considerable help with the radiology, and Rolf
Smith read through all the cases to provide us with invaluable help. These are
the individuals who reviewed one or more cases for us: Lesley Bennett,
Malcolm Benson, Di Bilton, Steve Chapman, Sonya Craig, Ling-Pei Ho, Rob
Davies, Colin Forfar, Maxine Hardinge, Robin Howard, Gary Lee, Raashid
Luqmani, Lorna McWilliam, Grace Robinson, Rana Sayeed, Claire Shovlin,
Catherine Swales, Catherine Thomas, Chris Winearls, and John Wrightson.
Needless to say any errors remain our responsibility.
