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Leadership on prescription drugs needed

机译:在处方药需要领导

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摘要

A 63-year-old man presented with a 10-year history of cough with copious purulent sputum and progressive exertional shortness of breath. His medical history was remarkable only for chronic sinusitis. Coarse crackles and rhonchi were heard bilaterally over the lower lung fields. Laboratory investigations including complete blood count, biochemistry, and sputum cultures for mycobacteria and fungus were normal. Chest radiography showed diffuse reticulonodular shadows bilaterally with a lower-lung predominance, and high-resolution computed tomography (CT) showed bronchiectasis, centrilobular nodules and tree-in-bud opacities bilaterally (Figure 1). Diffuse panbronchiolitis was diagnosed.
机译:一个63岁的老人提供10年的历史咳嗽和大量脓痰进步的劳累型气短。病史是慢性的鼻窦炎。双边在肺字段。实验室调查包括完整的血细胞计数、生物化学和痰培养分枝杆菌和真菌是正常的。摄影显示弥漫性reticulonodular阴影lower-lung双边优势和高分辨率的计算断层扫描(CT)显示支气管扩张,小叶中心的结节,伴透明双边扩散panbronchiolitis(图1)被诊断出。

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