The Rational Clinical Examination
David L. Simel, Drummond Rennie
Pneumonia, Adult, Community-Acquired
David L. Simel, Joshua P. Metlay
community acquired pneumonia, cough, pneumonia, sputum, wheezing
"A 36-year-old man with no underlying medical illness developed
a cough 3 days ago. In the past 24 hours, his cough became productive
of darkened sputum and he observed some wheezing for the first time.
He decided to try to go to work, but an episode of chills made him
realize he needed to see an urgent care physician. On examination,
you find that his temperature is 38.2°C. He does not have tachypnea
or tachycardia, although he is wheezing. You do not hear any areas
of decreased breath sounds or pulmonary rales. On hearing the wheezing,
you inquire to find that he has no history of asthma and that he
is not a smoker...."
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