Your 58-year-old patient with a 30-pack-year smoking history…
Your 58-year-old patient with a 30-pack-year smoking history complains of difficulty breathing. He explains, “For the last 6 years, I have had a productive cough and I have been catching a lot of chest colds recently.” He reports that he normally coughs up “white stuff” but for the past couple of days “it’s been yellow with blood in it.” He is awake but appears to be very drowsy. His skin has a “bluish-red” appearance. Auscultation of the lungs reveals distant breath sounds associated with diffuse wheezes and rhonchi. Physical exam reveals bilateral pitting edema of the lower extremities. What CHRONIC or UNDERLYING disease process is the patient suffering from?
Read DetailsA 25-year-old patient complain of a sudden onset of severe u…
A 25-year-old patient complain of a sudden onset of severe unexplained dyspnea and chest pain. She tells you that she is healthy, doesn’t drink, but does smoke. This morning, she returned from vacation via a lengthy airplane flight. Management of this patient includes
Read DetailsYour 24-year-old patient complains of respiratory distress a…
Your 24-year-old patient complains of respiratory distress after being around his friend’s dog. Lung sounds reveal bilateral expiratory wheezing. He denies medical history, but is prescribed fluticasone. Based on the patient presentation and his prescribed medication you suspect the patient has
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