{"pk":8521,"title":"A Woman with Dyspnea and Hemoptysis","subtitle":null,"abstract":"A 55-year-old female presented to the emergency department at a small community hospital with cough, fever, dyspnea and blood-streaked sputum. A chest radiograph was ordered. She was diagnosed with pneumonia and discharged home with antibiotics. She returned three days later, afebrile, with worsening dyspnea and gross hemoptysis. She was found to have a murmur reported as chronic but had never been evaluated by echocardiography. A computed tomography chest and echocardiography were performed (Figure). She was diagnosed with a left atrial myxoma (Video). She was transferred and underwent tumor excision. [West J Emerg Med. 2014;15(7):-0.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"myxoma, hemoptysis, emergency department, shortness of breath, dyspnea"}],"section":"Diagnostic Acumen","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6v21z7g2","frozenauthors":[{"first_name":"Steven","middle_name":"G.","last_name":"Schauer","name_suffix":"","institution":"Bayne-Jones Army Community Hospital, Department of Emergency Medicine, Fort Polk, Louisiana","department":"None"},{"first_name":"Justin","middle_name":"C.","last_name":"Eisenman","name_suffix":"","institution":"Blanchfield Army Community Hospital, Fort Campbell, Kentucky","department":"None"}],"date_submitted":"2014-09-08T09:44:13+08:00","date_accepted":"2014-09-08T09:44:13+08:00","date_published":"2014-10-22T04:39:42+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/8521/galley/4913/download/"}]}