Stuffy

Multisystem Processes & Disorders


{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This middle aged gentleman has presented with a mix of upper and lower respiratory tract symptoms.\n\nHis examination is significant only for multiple nasal polyps, a non-specific finding which might just be due to chronic inflammation.\n\nIn the majority of such patients, these clinical findings are usually due to benign causes - most often asthma combined with rhinosinusitis.\n\nHowever, this patient\u0027s basic investigations show several anomalies: mild anemia, neutrophilia, and, very importantly, a significantly elevated ESR. These findings suggest that a more sinister cause may be at play.\n\nThe differential diagnosis for an elevated ESR in conjunction with mixed upper and lower respiratory symptoms is quite broad. However, in practice, the caus"}]}

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