A 37-Year-Old Man With Pleuritic Chest Pain
| Autor: | Joshua Fierer, Mark W. Onaitis, Jessica Galant-Swafford, Matthew Light, Judd W. Landsberg, Stephen A. Rawlings |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine Chest Pain medicine.medical_specialty Antifungal Agents Pleural effusion Vital signs Critical Care and Intensive Care Medicine Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Internal medicine Pulmonary Critical Care and Sleep Pearl Humans Medicine 030212 general & internal medicine Coccidioidomycosis Coccidioides Lung Diseases Fungal medicine.diagnostic_test Thoracic Surgery Video-Assisted business.industry medicine.disease Combined Modality Therapy 030228 respiratory system Pleurisy Cardiothoracic surgery Chest Tubes Bronchitis Sputum Chills medicine.symptom Cardiology and Cardiovascular Medicine business Chest radiograph |
| Zdroj: | Chest |
| ISSN: | 0012-3692 |
| DOI: | 10.1016/j.chest.2019.02.002 |
| Popis: | Case Presentation A 37-year-old man with poorly controlled type 2 diabetes presented with severe right-sided pleuritic chest pain, respiratory splinting, and cough. Two weeks earlier, he had been evaluated at an urgent care for cough and was prescribed a 5-day course of azithromycin for bronchitis. He then presented to our ED reporting mild, right-sided pleuritic chest pain. Vital signs were normal, and his chest radiograph showed a trace right pleural effusion ( Fig 1 A). He was discharged with naproxen for pleurisy. Three days later, he returned, reporting a dramatic increase in the severity of his pleuritic chest pain and a cough that had become productive of yellow-brown sputum. He denied fever, but endorsed chills and night sweats. His medications included atorvastatin, lisinopril, metformin, and saxagliptin. His parents were from Guam, although he was born and raised in San Diego, CA. He was employed as a social worker and denied any history of cigarette smoking, alcohol, or drug use. |
| Databáze: | OpenAIRE |
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