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Clinical Notes
October 19, 1964

Bronchoscopic Aspiration After Respiratory Infections

Author Affiliations

Portland, Ore

From St. Vincent's Hospital, Portland, Ore.

JAMA. 1964;190(3):245-248. doi:10.1001/jama.1964.03070160069024

CHEST PAIN associated with the respiratory infections considered in this report is not the acute pleuritic type of pain requiring narcotics, but the constant dull ache usually present in the anterior chest and frequently described as a sense of pressure or tightness. Anterior chest pain or tightness of a somewhat similar nature may originate from myocardial ischemia1 or esophagitis.2 A correct diagnosis may be determined from the history, some special examinations, and response to treatments since the electrocardiogram, chest x-ray and physical examination may be normal. The asthenia reported here refers to tiredness and weakness which either prevent a full day's work or lead to complete exhaustion at the end of the day. This may be associated with a low-grade afternoon fever which the patient may not have noticed. Inability to take a deep breath or dyspnea on exertion may remain unnoticed until the patient attempts a hunting

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