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Use the following patient vignette to answer questions 4 – 6…

Posted byAnonymous November 10, 2021August 10, 2023

Questions

Use the fоllоwing pаtient vignette tо аnswer questions 4 – 6. A 26-yeаr old woman presents with increasing dyspnea on exertion, unproductive cough, and sinusitis. She denies chest pain and smoking, takes no medications, and has no prior history of pulmonary diseases. She recently moved to town to work as an administrator for baggage claims at CLE-Hopkins airport (which is now undergoing renovations), and the symptoms appeared shortly after her move and occur 2-3 times a week. On physical examination, the patient is breathing normally. The temperature is 98.5°F, blood pressure is 110/70 mm Hg, pulse rate is 70/min, and respiration rate is 21/min; BMI is 25.  Auscultation of the chest revealed mild wheezing without crackles. Chest radiograph is within normal limits. Forced expiratory volume in one second/forced vital capacity (FEV1/FVC) ratio is 62% and FEV1 increased by 25% upon bronchodilator administration. 6. Symptoms have persisted for eight months with the same weekly frequency. What is the best long-term therapeutic approach for the patient at this point?

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