Case Study: PNEUMONIAHistory of Present Illness: Social History:Allergies:Past Medical History: A 33-year-old white female presents after admission to the general medical/surgical hospital ward with a chief complaint of shortness of breath on exertion. She reports that she was seen for similar symptoms previously at her primary care physician’s office six months ago. At that time, she was diagnosed with acute bronchitis and treated with bronchodilators, empiric antibiotics, and a short course oral steroid taper. This management did not improve her symptoms, and she has gradually worsened over six months. She reports a 20-pound (9 kg) intentional weight loss over the past year. She denies camping, spelunking, or hunting activities. She denies any sick contacts. A brief review of systems is positive for fever T 101.8, night sweats, palpitations, chest pain, Denies NVDV, denies constipation, abdominal pain, neural sensation changes, muscular changes, and increased bruising or bleeding. She admits a non-productive cough, shortness of breath, and shortness of breath on exertion. Her tobacco use is 33 pack-years; however, she quit smoking shortly prior to the onset of symptoms, six months ago. She denies alcohol and illicit drug use. She is in a married, monogamous relationship and has three children aged 15 months to 5 years. She is employed in a cookie bakery. She has two pet doves. She traveled to Mexico for a one-week vacation one year ago. No known medicine, food, or environmental allergies. Hypertension Health Science Science Nursing MEDSURG 210 Share QuestionEmailCopy link Comments (0)
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