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Images in emergency medicine: a case of acute breathlessness in a swimmer
  1. Victoria Jane North,
  2. Helen Mansfield
  1. Emergency Department, Cheltenham General Hospital, Cheltenham, UK
  1. Correspondence to Dr Helen Mansfield, Emergency Department, Cheltenham General Hospital, Sandford Road, Cheltenham GL53 7AN, UK; Helen.Mansfield{at}glos.nhs.uk

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A previously fit and well 26-year-old female subject presented to emergency medicine with acute shortness of breath, the day after attempting to swim the English Channel. The breathlessness, which was worse lying flat, had come on 4 h after finishing the swim, and was associated with a cough productive of pink sputum.

She had …

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