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Young Welder and Painter: Seen in the ED
The young patient's symptoms are nonspecific but there are questions that should be asked to help narrow the differential diagnosis - which ones?
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History of present illness: A man in his mid-20’s presents to the hospital emergency department for 2 days of feeling lightheaded and short of breath. He also has a slight cough plus intermittent chills and a mild headache. He denies any fever or known COVID/flu exposure at either of his two jobs, one as a welder and the other as a painter. He is single and lives alone.
Vital signs & physical examination: Vital signs are normal. Physical examination is normal
Initial diagnostic testing
CBC: normal
Chem-7: normal
Imaging: CXR normal
Which of the following questions is important to ask?
Find more puzzling presentations in Patient Care's collection of Dr Pregerson's "Seen in the ED" cases.
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