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Outline of Presentaion

Outline of Presentaion. To present a case of a 24F presenting with shortness of breath To present an approach and an algorithm in the diagnosis of a patient with shortness of breath To present the differential diagnosis and clinical impression of the patient

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Outline of Presentaion

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Presentation Transcript

  1. Outline of Presentaion • To present a case of a 24F presenting with shortness of breath • To present an approach and an algorithm in the diagnosis of a patient with shortness of breath • To present the differential diagnosis and clinical impression of the patient • To discuss the chest x-ray findings and correlate it with the PE examination findings • To discuss the roles of other imaging modalities

  2. CASE PRESENTATION • R.F. • 24 Y/O • Female • CHIEF COMPLAINT: Shortness of breath

  3. HISTORY OF PRESENT ILLNESS ADMISSION

  4. REVIEW OF SYSTEMS • Poor appetite • No headache/blurring of vision • No cough/colds • Occasional chest pain • No abdominal pain/no vomiting • No joint pains

  5. PAST MEDICAL HISTORY • No previous hospitalizations • (+) episodes of sore throat and fever as a child • No hypertension • No diabetes • No surgeries

  6. FAMISLY HISTORY • (-) Heart disease • (-) Diabetes • (-) Asthma/Allergies

  7. PERSONAL/SOCIAL HISTORY • Non-smoker • Non-alcoholic beverage drinker

  8. PHYSICAL EXAMINATION FINDINGS • Conscious, coherent, ambulatory • BP: 120/80 • HR: 70 bpm • RR: 20’s • Warm moist skin ,no dermatoses

  9. PHYSICAL EXAMINATION FINDINGS • HEART: apex beat 5th LICS, MCL (+) accentuated S1 (+) diastolic murmur • LUNGS: symmetric chest expansion no retractions (+) occasional wheeze • No cyanosis/edema

  10. MISSING DATA • General Data • Address, occupation, civil status, religion • HPI • Type of vitamins taken when consult was done • Other possible associated signs and symptoms • PE findings • Specific RR • Temp • BMI • JVP

  11. MISSING DATA • Personal and Social History • Type of diet, exercise • Occupation (type, workload) • Environmental History • Area of residence and associated living conditions

  12. SALIENT FEATURES • 24 F • BP: 120/80 • HR: 70 BPM • Progressive shortness of breath • RR: 20s • Symmetrical chest expansion • (-) Retractions • (+) Wheeze • Apex beat: 5th LICS, MCL • (+) Accentuated S1 • (+) Diastolic murmur

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