Pleuropulmonary blastoma in an adolescent.

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Date: Aug. 2021
From: Contemporary Pediatrics(Vol. 38, Issue 8)
Publisher: Intellisphere, LLC
Document Type: Article
Length: 944 words
Lexile Measure: 1230L

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THE CASE

A previously healthy 16-year-old female patient presented to our institution with intermittent pleuritic chest pain and shortness of breath. Her symptoms began with chest pain 2 days earlier. The pain was worsened by movement and breathing. She did not have any cough but did have shortness of breath that began with the chest pain. Review of systems was negative for fever, chills, night sweats, and weight loss. There was no recent trauma, with the exception of hitting her chest on a door after "fainting" the night before her pain developed. She had no known history of smoking but said she vaped "a lot" in the past but "quit" 3 weeks prior to the start of the pain. The patient had no history of drug use. Medical history included posttraumatic stress disorder, asthma, bipolar disorder, and multiple personality disorder. Her medications included lithium, 300 mg twice daily; prazosin, 1 mg daily; and albuterol metered-dose inhaler, 2 puffs, as needed. The patient had no personal or family history of cancer.

In the emergency department, her temperature was 36.7 [degrees]C; heart rate was 90 beats per minute (min); respiratory rate, 18 breaths/min; and blood pressure, 112/81, mm Hg. Her height was 59 inches and weight, 48 kg (body mass index, 21). Her physical exam revealed heart rate and rhythm within normal limits and normal effort in breathing, but the patient had decreased breath sounds on the left...

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Gale Document Number: GALE|A676131326