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Breathe Easy: Pearls and Pitfalls in Respiratory Medicine (A Compendium of Clinical Cases)
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15 June 2025

This book presents a selection of respiratory cases with concise clinical details summarising relevant detail on imaging, spirometry, biochemical and pathological details.
There is often a disconnect between theoretical knowledge and the application and interpretation of this knowledge in terms of patient care. With emphasis on applied clinical medicine and problem solving, this book aims to bridge this gap.
In modern-day medicine, diagnostics, their importance, and interpretation have largely superseded clinical medicine. Through this varied case compilation, the authors integrate and supplant investigational medicine with clinical medicine, without undermining its importance.
The book provides comprehensive coverage of structured clinical cases, spotters, and rare respiratory cases, with specific focus on management complexities and dilemmas.
Each chapter has learning objectives and ends with clinical pearls to reinforce the key points.
The inclusion of flowcharts and references enhances educational value.
MEDICAL / Clinical Medicine, Clinical and internal medicine, MEDICAL / Internal Medicine
Vishak Acharya K MBBS DTCD DNB MNAMS
Professor and Consultant, Department of Pulmonary Medicine, Kasturba Medical College and Hospitals, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India
Saraswathy Sreeram MD (Pathology)
Associate Professor, Kasturba Medical College, Mangalore; Manipal Academy of Higher Education, Manipal, Karnataka, India
B Unnikrishnan MD (Community Medicine)
Dean and Professor, Kasturba Medical College, Mangalore; Manipal Academy of Higher Education, Manipal, Karnataka, India
Case 1: The Dilemma Over Steroids in Interstitial Lung Diseases
Case 2: Erasmus Syndrome: Interstitial Lung Disease of Occupational Etiology
Case 3: Acute Chest Pain and Breathlessness Following Acute Abdomen
Case 4: A Case of Persistent Right Lower Lobe Abscess
Case 5: An Unholy Nexus
Case 6: A Unique Cause of Hemoptysis in a Young Man
Case 7: An Intriguing Case of Persistent Hypoxia Following Spinal Cord Injury
Case 8: Extrapleural Air Collection Following Thoracic Surgery: A Rare Complication
Case 9: Recurrent Pneumonia in an Adolescent Non-asthmatic
Case 10: Persistent Right-sided Pleural Effusion: A Rare Etiology
Case 11: Unveiling a Silent Cause of Acute Decompensation in a COPD Patient
Case 12: Seeing Through the “Hidden Areas”: A Diagnostic Challenge
Case 13: The Anomaly Behind Acute Respiratory Failure and Left Vocal Cord Palsy
Case 14: The Bubble: The Key to Unraveling the Cause of Hypoxia
Case 15: Drowning in Secretions: Neuromuscular Disease
Case 16: Battling the Deadly Bug—MDR Pneumonia and Utility of CARBa-R
Case 17: A Lick Turns to a Bite: Viral Bronchiolitis
Case 18: Recurrent Pneumonia in Young People: An Unusual Etiology
Case 19: Tension Giant Bulla in a Young Non-smoker
Case 20: Differential Diagnosis of Pulmonary Cysts: A Radiologic Perspective
Case 21: Sound of Hooves Precede the Sight of the Horse
Case 22: Pebbled Trachea in a 60-year-old Man
Case 23: A Case of “Black Lung” in a Young Woman
Case 24: Golden S Sign: Unravelling the Clinico-radiological Correlation
Case 25: Acute Exacerbation of Idiopathic Pulmonary Fibrosis in a COPD Patient
Case 26: Small Airway Disease and Pulmonary Arterial Hypertension: A Complex Interplay
Case 27: Recurrent Pneumonia in Young: The Mycosis Mystery
Case 28: A Radiological PotPourri
Case 29: Sub-acute Hypersensitivity Pneumonitis: A Dual Etiology
Case 30: Tubercular Consolidation: Diagnostic Pitfalls
Case 31: Discordant Effusions: Dilemmas in Management
Case 32: Anemia with Hypoxia as a Manifestation of Silent Bleed
Case 33: The Hidden Effusions
Case 34: Obstructive Sleep Apnea Syndrome: A Silent but Dangerous Interlude
Case 35: Arteriovenous Malformation Presenting with Massive Hemoptysis and Brain Abscess
Case 36: Chronic Cough and Chest Pain: A Strange Nexus
Case 37: Fulminant Pneumonia: Complications and Complexities
Case 38: Non-expanding Lung: Management Dilemmas
Case 39: Tuberculosis: The Mighty Masquerade
Case 40: Pulmonary Mycosis: A Tuberculosis Mimic
Case 41: Tuberculosis Lurking within the Tubes: A Silent Disease
Case 42: Zoonotic Pneumonia: A Rare Entity
Case 43: Combined Pulmonary Fibrosis with Emphysema: An Unrecognized Entity
Case 44: Empyema Saga: Microablation to a Leak and a Plug
Case 45: Dyspnea in an Event Manager
Case 46: Big Problems Due to Small Airways
Case 47: Pleural Eosinophilia
Case 48: Lung Collapse—Mould Menace
Case 49: Adult-onset Still’s Disease: A Deadly Pneumonia Mimic
Case 50: Triple Trouble: Common Variable Immunodeficiency Syndrome, Drug-resistant Pneumonia, and Bronchiectasis