A 44-year-old female is referred to the respiratory outpatient clinic by her GP with a 5-week history of worsening shortness of breath on exertion. She lives in the city, works as a banker, has no pets, and has smoked 20 cigarettes a day since the age of 20 yrs.
Serum Calcium, ESR, CRP, Rheumatoid factor, ANA, serum ACE, serum precipitins, ANCA, HIV and hepatitis testing – all unremarkable.

WelcomeInternal Medicine Online is the home page of the MSc Internal Medicine at the University of Edinburgh (Scotland, UK). On further questioning she denies any cough, sputum, haemoptysis, chest pain, fever or weight loss.

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