Thank you to Dr. P. Bunce for hosting today’s morning report and to team 7 for bringing a case.
We discussed a case of a previously healthy young person who presented with shortness of breath. We discussed a list of differential diagnoses of this problem in a young person that is different than the one we usually use for an elderly person presenting with the same complaint. The reason we did this is given that she is previously healthy, diagnoses such as heart failure is less likely in the absence of hypertension, diabetes or coronary artery disease. For our patient, the differential diagnoses constructed were: asthma, pneumonia, pulmonary embolism, malignancy, pregnancy, pulmonary hypertension. We also discussed that TB is a consideration depending on risk factors and exposure history.
We then looked at her CXR and CT of thorax and it showed an anterior mediastinal mass, and pulmonary embolism. We discussed the differential diagnoses of T’s. Teratoma, thymoma, thyroid, and terrible lymphoma. Occasionally, TB can also be a cause. Tissue was obtained.