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immo universal decoding 4.0 crackPlatypnea-orthodeoxia syndrome: a review of a case and literature.
Platypnea-orthodeoxia syndrome (POS) is a rare cause of dyspnea, defined by an orthodeoxia and a marked reduction in functional residual capacity during postural changes. We describe the case of a 44-year-old man who presented with severe dyspnea, orthodeoxia and was referred to our department for investigation of acute respiratory failure. The patient had been diagnosed elsewhere with POS which had been associated with a number of different causes including lung and pleural malignancies. Extensive investigations failed to demonstrate a cause and he was referred to our department. Despite normal investigations, we suspected he had POS based on a combination of symptoms, a good response to oxygen therapy, and a decreased resting oxygen saturation. Respiratory and haemodynamic measurements during supine and upright posture confirmed the diagnosis. A review of the literature reveals that the aetiology is heterogeneous but a number of potential causes have been suggested. When the diagnosis is established, a correction of the dyspnoea and orthodeoxia is recommended. The condition is not cured but is generally well controlled with hypoxia or even hypercapnia. We describe our case, review the literature and conclude with a brief discussion of this rare syndrome.
718 N.W.2d 819 (2006)
476 Mich. 872
PEOPLE of the State of Michigan, Plaintiff-Appellee,
v.
Robert I. CHASANOW, Defendant-Appellant.
Docket No. 128903. COA No. 259151.
Supreme Court of Michigan.
June 26, 2006.
On order of the Court, the application for leave to appeal the January 27, 2006 order of the Court of Appeals is considered, and it is DENIED, because we are not persuaded that the question presented should be reviewed by this Court.
When the scale of the events in the Paris attacks were still unfolding, the world rightly went into a state of shock. The barbaric assault on civilians and the primary
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