alexa

GET THE APP

Dersleri yüzünden oldukça stresli bir ruh haline sikiş hikayeleri bürünüp özel matematik dersinden önce rahatlayabilmek için amatör pornolar kendisini yatak odasına kapatan genç adam telefonundan porno resimleri açtığı porno filmini keyifle seyir ederek yatağını mobil porno okşar ruh dinlendirici olduğunu iddia ettikleri özel sex resim bir masaj salonunda çalışan genç masör hem sağlık hem de huzur sikiş için gelip masaj yaptıracak olan kadını gördüğünde porn nutku tutulur tüm gün boyu seksi lezbiyenleri sikiş dikizleyerek onları en savunmasız anlarında fotoğraflayan azılı erkek lavaboya geçerek fotoğraflara bakıp koca yarağını keyifle okşamaya başlar
Shortness of Breath: Anyone Consider the Gut? | OMICS International | Abstract
ISSN: 2161-069X

Journal of Gastrointestinal & Digestive System
Open Access

Like us on:

Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Case Report

Shortness of Breath: Anyone Consider the Gut?

Ayesha Kanwal1*, Imran Sheikh1, Raja R Shekhar Sappati Biyyani2, Corey Sievers2 and Annette Kyprianou2

1Division of Hospital Medicine, MetroHealth Medical Center, Case Western Reserve University, Cleveland, Ohio 44109, USA

2Division of Gastroenterology, MetroHealth Medical Center, Case Western Reserve University, Cleveland, Ohio 44109, USA

*Corresponding Author:
Ayesha Kanwal DO
Division of Hospital Medicine
MetroHealth Medical Center
Case Western Reserve University
Cleveland, Ohio 44109, USA
Tel: 817 703 8671
E-mail: [email protected]

Received date: October 17, 2011; Accepted date: June 25, 2012; Published date: June 28, 2012

Citation: Kanwal A, Sheikh I, Sappati Biyyani RRS, Sievers C, Kyprianou A (2012) Shortness of Breath: Anyone Consider the Gut?. J Gastroint Dig Syst 2:115. doi: 10.4172/2161-069X.1000115

Copyright: © 2012 Kanwal A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Dyspnea is a common complaint that compels patients to seek medical care. Usual etiologies include asthma, chronic obstructive pulmonary disease, myocardial dysfunction and pulmonary embolus. In our case a patient was admitted to our hospital with dyspnea, fatigue and pleuritic chest pain for three weeks. Physical examination and imaging were unremarkable. Labs were only significant for severe microcytic anemia with hemoglobin 2.8 g/dL, hematocrit of 12%, MCV 56, iron <6 mcg/dL, and ferritin 13.9 ng/mL. All the usual causes of iron deficiency anemia were ruled out and patient was diagnosed with celiac disease. The incidence of celiac disease in patients with iron deficiency anemia has been reported to be from 6% to 12%. Among patients whose anemia does not respond to iron therapy the incidence increases to 20%. This case illustrates that when a patient with common complaints of dyspnea and anemia is evaluated celiac disease should always be considered in the differential.

Keywords

Google Scholar citation report
Citations : 1499

Journal of Gastrointestinal & Digestive System received 1499 citations as per Google Scholar report

Journal of Gastrointestinal & Digestive System peer review process verified at publons
Indexed In
  • Index Copernicus
  • Google Scholar
  • Sherpa Romeo
  • Open J Gate
  • Genamics JournalSeek
  • China National Knowledge Infrastructure (CNKI)
  • Electronic Journals Library
  • RefSeek
  • Hamdard University
  • EBSCO A-Z
  • OCLC- WorldCat
  • SWB online catalog
  • Virtual Library of Biology (vifabio)
  • Publons
  • Geneva Foundation for Medical Education and Research
  • Euro Pub
Share This Page
Top