April 2017 Pulmonary Case of the Month
Lewis J. Wesselius, MD
Pulmonary Department
Mayo Clinic Arizona
Scottsdale, AZ USA
History of Present Illness
A 63-year-old woman with a prior diagnosis of possible rheumatoid arthritis was referred for dyspnea with more vigorous activities in Prescott where she now lives (elevation 5367 ft.). She is receiving hydroxychloroquine 400 mg/day.
Past Medical History, Social History and Family History
She has a past medical history of hypertension. She smoked about a pack per day from age 20 to 40. There is a history of colon cancer in her mother and lung cancer in a sister.
Physical Examination
- Vitals: BP 155/102, SpO2 93% on room air
- Chest: slightly decreased breath sounds but clear
- Cardiovascular: regular rhythm without murmur
- Extremities: no cyanosis, clubbing or edema
- The remainder of the physical examination is normal
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Cite as: Wesselius LJ. April 2017 pulmonary case of the month. Southwest J Pulm Crit Care. 2017;14(4):129-33. doi: https://doi.org/10.13175/swjpcc040-17 PDF
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