A 41-year-old African American male presented to the emergency room with chest and abdominal pain associated with dyspnoea following multiple episodes of emesis. Assessment and imaging revealed proximal and distal oesophageal perforations. The patient was emergently taken to the operating room where a diverting fistula of the cervical oesophagus was created through the neck.
The prevalence of chronic obstructive pulmonary
disease in acute hospital admissions is 20.9% with
11.7% of admissions having chronic symptoms with
normal spirometry. There was significant co-morbidity
with vascular disease.
Objectives: To determine the proportion of adult medical patients who have chronic obstructive pulmonary disease (COPD), using the Global initiative for Chronic Obstructive Lung Disease guidelines (GOLD), and its relation to vascular disease.
Methods: This is a prospective cross-sectional study of adult patients admitted to acute medical wards. Interviewer administered questionnaire, anthropometric and spirometric measurements were done.