Al-Habbal Yahya
Department of Surgery, Austin Health, Melbourne, Victoria.
Aust Fam Physician. 2011 May;40(5):299-300.
Mrs FW, 83 years of age, presented to the emergency department with repeated episodes of attacks of vomiting over several months, coughing, weight loss and worsening shortness of breath. On examination she was not distressed, but mildly dehydrated. Chest examination revealed decreased air entry in both sides of the chest. Heart sounds were muffled. Other examination was within normal limits.
FW 夫人，83 岁，因数月来反复出现呕吐发作、咳嗽、体重减轻及气短加重等症状，前往急诊科就诊。检查时她并无痛苦，但有轻度脱水。胸部检查显示双侧胸部呼吸音减弱。心音低沉。其他检查均在正常范围内。
