Case 4 – Pneumonia

You are seeing Mrs. Muller, a 45 year old female, in the ER for a new pneumonia. Please examine the patient and comment on his chest X-ray. Physical Examination Inspection Comments on presence of central/peripheral cyanosis (frenulum, lips, fingernails) Inspects for...

Case 3 – Hemoptysis

You are about to see Mr. Singal in your outpatient clinic. He tells your nurse that he has recently noticed blood in his sputum. Take a focused history concerning his complaint. History Onset, duration, frequency of hemoptysis Quality of hemoptysis Volume of...

Case 2 – Shortness of Breath

You are seeing Mrs. Clark, a 30 year old woman, in the Emergency Department today shortness of breath. Take a focused history of his complaint. History Onset and duration of shortness of breath Alleviating factors, including any use of puffers Aggravating factors,...

Case 1 – Productive Cough

You are seeing Mr. Smith, a 60 year old man, in your outpatient clinic today for a worsening productive cough. Take a focused history of his complaint. History Onset of cough Worsening cough Sputum production and volume Change in sputum color Presence of blood in...