Progressive Dyspnea and a Persistent Wheeze: A Subtle Presentation of Pulmonary Embolism in a 64 Year Old Woman
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San Juan City Hospital, San Juan, Puerto Rico
Publication date: 2011-04-11
Corresponding author
Eduardo Fahme   

San Juan City Hospital, PO BOX 1513 Sabana Seca, PR 00952, Puerto Rico
Eur J Gen Med 2011;8(2):148-150
Wheezing is a whistling sound which is made during the inspiratory or expiratory phase. By definition, wheezes are continuous sounds longer than 250 msec in duration and are higher pitched and of more musical quality than rhonchi. These are commonly found in patients with asthma and although the mechanisms are not entirely clear, consensus on it originating from obstruction is evident. Most patients, and even a few physicians, believe that wheezing is synonymous with asthma. However, there are multiple conditions that produce this specific breath sound. We report a case of a patient who was misdiagnosed with asthma.
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