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You are practicing in the walk-in clinic and your first patient of the morning is a 64-year-old female who presents today with complaints of abrupt onset of sleeplessness, productive cough, shortness of breath, and chills. She has a history of tobacco dependence (1 pack per day for 35 years). Past medical history is otherwise unremarkable. She does not take any medications. Vital signs include: blood pressure 132/86, pulse 95, oral temperature of 99.8, oxygen saturation of 93% on room air. Exam today reveals mild tachypnea, diminished breath sounds to left posterior chest, and dullness with percussion to left lower lobe. You suspect community acquired pneumonia CBC and chest x-ray are pending.
SCIENCE
HEALTH SCIENCE
NURSING

 
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