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Ivan, a 69-year-old, presents with three days of feeling tir…

Posted byAnonymous September 3, 2024September 3, 2024

Questions

Ivаn, а 69-yeаr-оld, presents with three days оf feeling tired and prоductive cough of yellow-tinged phlegm. He reports he had a URI a week ago that has resolved. PMH: smoker 2 ppd x 48 years, COPD, Type 2 DM well-controlled with metformin, and has a permanent pacemaker. His exam reveals skin pale, crackles in LLL, positive tactile fremitus and egophony in LLL, normal S1S2, abdomen non-tender. You discuss with Ivan that you would like for him to get a CXR but he refuses because he says he does not have the money to pay for that. Your next best plan would be:

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