A 75 year old man with a history of fibrosing alveolitis, on home oxygen presented with chest and neck pain, a strange and altered voice and itchy sensation in his throat, and swelling of his neck. It had gradually worsened over 10 days prior to presentation
Charles Clifford Macklin (1883-1959) was a Canadian pulmonologist. Macklin Effect (1939)
An ICU patient has become increasingly 'puffed' post-tracheostomy. Can you figure out why? What are your going to do about it?
A 30 year-old male presented with 24 hours of worsening respiratory distress, following a 5-day prodrome of cough, fever, diarrhoea, lethargy and malaise.