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Two-Week History of Difficulty in Breathing in a 28-Year-Old Female
Pulmonology·Advanced·28y female
Case focus
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A 28-year-old woman presents with two weeks of progressive difficulty in breathing. Her chest radiograph holds the key to the diagnosis. What is the most likely radiological finding, and which focused history and examination findings would you seek next?
28yr/ female· Outpatient clinicpresenting with Difficulty in breathing for two weeks
History of Present Illness
A 28-year-old female presents with a two-week history of difficulty in breathing. The onset was gradual, and the patient reports no significant improvement or deterioration. She denies any associated symptoms such as cough, sputum production, haemoptysis, fever, night sweats, weight loss, pleuritic chest pain, orthopnoea, or paroxysmal nocturnal dyspnoea.
Past Medical History
Not provided
Past Surgical History
Not provided
Medications
Not provided
Allergies
Not provided
Family History
Not provided
Social History
The patient is a market vendor from Karamoja, Uganda, with no known occupational exposure to lung irritants or a history of smoking.
Review of Systems
Respiratory: difficulty in breathing, no cough or sputum production. Constitutional: no fever, night sweats, or weight loss. Cardiovascular: no orthopnoea, paroxysmal nocturnal dyspnoea, or chest pain.