Pulmonary Diseases
 
Introduction
  Pneumonia
  Bronchiectasis
  Asthma
  Pleural Effusions
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Cases
  Dyspnea
  Cough & Fever
  Cough & Diarrhea
  Productive Cough
  Cough, Weight Loss
 
 
 

 

Naomi is a 26 year-old woman who complains of cough and weight loss.

  • Several months of dry cough and fatigue.
  • Moderate weight loss and poor appetite.
  • Loose stools and occasional 'hotness of body'.
  • Denies chest and abdominal pain.
  • No one at home is sick or coughing.
  • Her husband died last year.
  • She is thin but in no acute distress.


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Physical exam

  • Vital signs: Temp = 37.2°C, Pulse = 90, BP = 100/60, Resp = 22.
  • She has oral thrush.
  • Chest is clear and no abnormal heart sounds are heard.
  • Abdominal, neurological and extremity exams are within normal limits.

Disposition

  • She is admitted and started on Fluconazole and Septrin.
  • An ELIZA and hemogram is ordered.

The following day on rounds.
 
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