| Abstrakt: |
HistoryA 26-year-old black woman was initially seen with an acute onset of shortness of breath, right-sided pleuritic pain in the chest, and a history of one week of pain without swelling of the right leg.She denied any unusual medical history. A routine employment roentgenogram of the chest obtained two years earlier was normal. Her only medication was a mestranol-norethindrone combination product.Physical examination revealed a well-developed, well-nourished woman in moderate respiratory distress. Her BP was 110/70 mm Hg; heart rate, 108 beats per minute; respirations, 28/min; and temperature, 37.8 °C. Pertinent physical findings included a left conjunctival nodule, right supraclavicular adenopathy, and bronchial breath sounds heard over the right upper-lung region. Her extremities were normal.Findings from routine laboratory studies were unremarkable except for an ESR of 56 mm/hr. Arterial blood gas levels on room air were Po2, 77 mm Hg; Pco2, 30 mm Hg; and |
