1 Emphysema
2 Pulmonary fibrosis – likely asbestosis
3 Type 2 diabetes
4 Hypertension
5 Depression
Thank you for Lindsay Cullen. Unfortunately, a referral letter was not available at the time of consultation, but I gather Lindsay is a retired Telstra maintenance worker who reports asbestos exposure over a ten-year period, up until 25 years ago. Lindsay is also an ex-smoker of approximately 20 pack-years, having ceased this habit 25 years ago.
As you are aware, for a number of years Lindsay has experienced mild exertional dyspnoea has slowly progressed over time. On the flat, he is not particularly symptomatic but will become breathless walking up inclines. He also reports a chronic cough productive of small amounts of clear phlegm. There is no chest pain, wheeze, paroxysmal nocturnal dyspnoea or orthopnoea. …show more content…
On the first occasion, there was some clear phlegm associated with this and the blood was bright in colour. He believes that it was less than the size of a 5-cent coin. He was not aware of any other symptoms at that time. He presented to Kilmore Hospital that revealed some lower zone abnormalities and he was subsequently commenced on a course of antibiotics for a presumed chest infection.
A subsequent CT chest scan has revealed an array of abnormalities, including some upper zone predominant emphysematous change lower zone fibrosis with some cystic abnormalities. There are also calcified pleural plaques.
Lindsay reports no history of connective tissue disease and is not taking any pneumotoxic
2 Pulmonary fibrosis – likely asbestosis
3 Type 2 diabetes
4 Hypertension
5 Depression
Thank you for Lindsay Cullen. Unfortunately, a referral letter was not available at the time of consultation, but I gather Lindsay is a retired Telstra maintenance worker who reports asbestos exposure over a ten-year period, up until 25 years ago. Lindsay is also an ex-smoker of approximately 20 pack-years, having ceased this habit 25 years ago.
As you are aware, for a number of years Lindsay has experienced mild exertional dyspnoea has slowly progressed over time. On the flat, he is not particularly symptomatic but will become breathless walking up inclines. He also reports a chronic cough productive of small amounts of clear phlegm. There is no chest pain, wheeze, paroxysmal nocturnal dyspnoea or orthopnoea. …show more content…
On the first occasion, there was some clear phlegm associated with this and the blood was bright in colour. He believes that it was less than the size of a 5-cent coin. He was not aware of any other symptoms at that time. He presented to Kilmore Hospital that revealed some lower zone abnormalities and he was subsequently commenced on a course of antibiotics for a presumed chest infection.
A subsequent CT chest scan has revealed an array of abnormalities, including some upper zone predominant emphysematous change lower zone fibrosis with some cystic abnormalities. There are also calcified pleural plaques.
Lindsay reports no history of connective tissue disease and is not taking any pneumotoxic