Diagnosing the Etiology of Subacute Dyspnea in a 72 Year-Old Man

In Episode 70 of Med School Question of the Week for USMLE, Hussain Rao, MedSchoolCoach expert tutor, answers this medical school question:

A 72-year old man comes into office complaining of trouble breathing for the past two weeks. He states that he has never experienced these symptoms before. The patient is a lifetime nonsmoker. He denies use of any illicit drugs. This patient has a history of Hodgkin lymphoma and recently received multiple rounds of chemotherapy. Physical examination reveals bibasilar crackles on lung auscultation, jugular venous distension and 2+ pitting edema in the lower extremities. What is the most likely cause of this patient’s symptoms?

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Adverse effect of doxorubicin

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