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Emergency presentation of oesophageal carcinoma. An unusual case
  1. T Al-Janabi,
  2. R Brown
  1. Department of Accident and Emergency, King's College Hospital, Denmark Hill, London SE5 9RS, UK
  1. Correspondence to: Mr Al-Janabi, Specialist Registrar in Accident and Emergency (tarik.al-janabi{at}kcl.ac.uk)

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A 48 year old woman was brought by ambulance to the department with a history of shortness of breath of five days duration.

Examination revealed a normotensive, tachypneic, tachycardic, afebrile woman who was in obvious respiratory distress with an audible wheeze. Her saturation was 91% on five litres of oxygen by mask on admission. Her chest examination showed bilateral basal crepitations and …

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