Pulmonary
The Southwest Journal of Pulmonary and Critical Care publishes articles broadly related to pulmonary medicine including thoracic surgery, transplantation, airways disease, pediatric pulmonology, anesthesiolgy, pharmacology, nursing and more. Manuscripts may be either basic or clinical original investigations or review articles. Potential authors of review articles are encouraged to contact the editors before submission, however, unsolicited review articles will be considered.
March 2020 Pulmonary Case of the Month: Where You Look Is Important
Richard A. Robbins, MD
Anselmo Garcia, MD
Arizona Chest and Sleep Medicine
Phoenix, AZ USA
History of Present Illness
A 47-year-old woman was seen for the first time in our clinic. She had approximately a two-year history of gradually increasing shortness of breath to the point where she could only climb one flight of stairs. In addition, she has a history of a cough sometimes productive and sometimes nonproductive. She did hear herself wheeze intermittently.
PMH, SH, and FH
She has a past medical history of gastroesophageal reflux disease (GERD). She was a nonsmoker and had no occupational exposure. Her aunt has a history of asthma.
Physical Examination
Her physical examination was normal and her lungs were clear.
Which of the following is appropriate at this time?
- Reassurance
- Treat empirically for post-nasal drip
- Treat empirically with albuterol
- Treat empirically with omeprazole
- None of the above
Cite as: Robbins RA, Garcia A. March 2020 pulmonary case of the month: where you look is important. Southwest J Pulm Crit Care. 2020;20(3):76-83. doi: https://doi.org/10.13175/swjpcc013-20 PDF