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A 55 year-old construction worker with a 30-year pack histor…

Posted byAnonymous September 5, 2024January 11, 2026

Questions

A 55 yeаr-оld cоnstructiоn worker with а 30-yeаr pack history of smoking presents to your office with acute onset of cough, dyspnea, fever, chills and myalgias. Chest x-ray demonstrates patchy infiltrates bilaterally. His wife tells you they both just got back from Florida, that the rooms were so cold because of the air-conditioning, and that she is upset because this is “the worst flu” her husband has ever had. The patient denies nasal obstruction or nasal discharge, but has a scratchy throat, that is mildly erythematous, but demonstrates no exudates. You note breath sounds are present in all lung fields, and that rales and rhonchi are heard in the lower lung fields bilaterally. Based on this description, what is your MOST LIKELY diagnosis?

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