LAUSR

Dear colleagues, today we present a condition: dyspnoea, a common problem determining many admissions to the hospital; heart, lung or vessel diseases underlying cardiac or respiratory failures are associated with dyspnoea [1]. Internal medicine, a science of complexity, teaches us how to handle patients affected by several comorbidities, requiring multidisciplinary expertise within a work team. As internists, we initially evaluate more prevalent etiologies, and we critically dynamically refine or revise our hypothesis; if most common causes are excluded, we evaluate the rare ones [2]. Our resident Dr. Ferrarese will now present a paradigmatic case of dyspnoea where internists, pneumologists, oncologists, radiologists and pathologists joined to reach a systematic diagnosis.